or Renew Membership
AANC does not have online payment,
so
(1) fill out and print form below,
(2) make check for $20.00 (or donation) to "AANC",
(3) send both to AANC Treasurer:
Richard Ozer
2539 Cordova St.
Oakland, CA 94602
rozer @ pacbell.net [remove spaces before/after @]
_____ DONATION _____ RENEWAL _____ NEW MEMBERSHIP
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YOUR NAME: ______________________________________________________
e-mail ______________________________________________________ and/or phone __________________________________
If you are renewing or establishing new membership, please give:
| Club, Institution, or Business: |
_________________________________________________ Abbreviation: ___________________
|
_____ Check here if all data for form below is same as in AANC Resource Guide --- skip the rest of the form.
_____ Check here if MOST data below is same as in AANC Resource Guide ---
only fill out changed items ...
| Homepage (URL): |
______________________________________________________ |
| Street Address: |
______________________________________________________ |
|
City:______________________ State: ______
Zip:____________
|
| Contact Person: |
_________________________________________________ |
| Phone: |
__________________________ Fax: ______________________
|
| E-mail: |
_________________________________________________ |
| Alternate Contact Person: |
______________________________________ |
| Alternate Phone: |
_______________________ |
| Alternate E-mail: |
_________________________________________________ |
| Classification: |
_____ Club _____ Business _____ Planetarium and Observatory
_____ Observatory _____ Planetarium _____ Regional Organization. |
Club meetings:
(time and place) |
_________________________________________________ |
|
_____ Public Stargazing offered |
| Comments/other: |
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