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Membership Form
First Name       Last Name  
Address 1    Apt./Room  
Address 2
City       State         Zip    - 
Preferred Contact
Phone Number		 ( )     - 
Other Phone ( )     -        Extension  
E-mail Address
Joining ACT includes Astronomical League (AL) membership unless otherwise noted.
   Full Membership - $45/yr    Senior Membership - 65 yr. and older $35/yr
   Student Membership - $30/yr *    Student Membership (no AL) - $25/yr *
   Renew Magazines Only
* Sr. Adult discount $35 per year for those 65 or older includes Astronomical League Membership.
* Student discounts will be granted to any student actively enrolled in elementary through High school or college students or trade school students. Students will have voting rights. Students may have the option to also join the Astronomical League for the additional fee of League membership. Use of club facilities will be restricted to student members accompanied by an active club member.
The regular membership allows all members in the family to participate in club events but only ONE voting membership and one Astronomical League membership. If an additional member of the family would like to join with voting rights the additional cost is $15. Additional League memberships within a family are $ 5 each.
As a member of the Astronomy Club of Tulsa the following special magazine subscription rates are available (optional):
Sky&Telescope    $33/yr       Astronomy    $34/yr   $60/two yrs
     
If renewing, enter your subscription numbers in the boxes above.
Additional Information (optional):
How did you hear about the club?      
How long have you been interested or active in astronomy?
List name, location, and dates of past astronomy club memberships.
What types of observing equipment do you own/use?
      Check all that apply. 		None    Binoculars    Telescope    Other
What are your interests in astronomy?
      Check all that apply. 		Constellations    Solar    Lunar
Planets    Deep-Sky    Other
Would you like to help with club projects or activities?   Yes         No

Tell us what activities would interest you, or send any other comments.



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