Membership Application

Please Tell Us A Little About Yourself

(Please print this form)

First Name_____________________ Middle__________ Last______________________
Address______________________ City____________________ State____ Zip________
Phone (Home)________________________ (Work)______________________________
Male____ Female____ Birthday___________E-Mail_______________________________
Occupation_______________________________________________________________
Hobbies__________________________________________________________________
_________________________________________________________________________

If you own a Telescope, what kind is it? _________________________________________

DUES INFORMATION
(Our Year Runs From July 1 to June 30 Of The Following Year)

There are two ways you can join The Evansville Astronomical Society: through a SINGLE or FAMILY membership. Dues are collected in full payment from July 1 through the end of the calendar year, and half-payment from Jan. 1 through June 30. Please check the type of membership you want during the part of the year you are joining.


         Joining From July 1 to June 30            or                Joining From Jan. 1 to June 30
       ______ Single ($40) ______ Family ($45)                  ______ Single ($20.00)    ______ Family ($22.50)


Signature __________________________________________ Today's Date ________________


Membership in the EAS entitles you to access to all of the club's facilities after you have completed an equipment/facilities usage orientation session, and  have been certified by an EAS officer. You will regularly receive a copy of the OBSERVER, the club's monthly newsletter, and have opportunities to be a part of the many events the EAS holds throughout the year. As a member you may wish to take advantage of a special low club-rate subscription to SKY & TELESCOPE or ASTRONOMY magazine. While you are not required to subscribe, many members do, finding them very useful and informative. The Treasurer can process your subscription for you. Membership in the EAS automatically enrolls you in the Astronomical League, an organization made up of amateur astronomy clubs around the world.

Meetings are held the 3rd Friday of each month at 7:30 PM, except one month in the summer, when we hold our Annual Picnic - day and time to be announced.


You can give your membership application to the Treasurer or any Officer, or mail it to:
Evansville Astronomical Society, Treasurer, PO Box 3474, Evansville, IN  47733

Society Processing Only. Please Do Not Write In This Space.

Treasurer:  Amount Received _______________ Date ____________ Membership Type ___________ Initials ______

Revised: 06/13/17
Copyright ©. 2017 Evansville Astronomical Society
Webmaster: Mike Borman