Goddard Astronomy Club Membership Application



Name:  _________________________________________________


Mail Code:  ________________


Company:  _______________________________


Work Phone:  ____________________


Email:  __________________________


Home Address:  _____________________________________________________

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Give this application along with your dues to the Treasurer: Keith Evans, Code 610.6

The dues are:         $10.00    membership 
                      $32.95    Sky and Telescope (optional through the club
						subscription 25% discount)

       total of:      $10.00 	membership only
             or:      $42.95	membership with yearly subscription for S&T

          **** check is made out to the Goddard Astronomy Club ****