Stockton Astronomical Society
Membership Application

Dues for membership (or renewal) apply to the calendar year 2012.

Print out this page, complete, and mail with your check to:

Stockton Astronomical Society
P.O. Box 243
Stockton, CA   95201

Or better yet, bring your application and check to any SAS meeting.

Name(s):   ______________________________________

Address:    ______________________________________

City:  ______________________ State: _____ Zip: ________

Email Address:  _____________________________________*
    (* Valley Skies newsletter will be delivered by E-mail in pdf format.)

Check to opt out: ______   I am not able to receive E-mail. Please deliver Valley Skies newsletter by mail.

Home Phone:      (_______)________________

Business Phone:  (_______)________________

Cell Phone:         (_______)________________

I would like the following membership (check one):

______ General/Family Membership ($20.00)   (Covers all members of immediate family)

______ Student Membership ($10.00)   (Full-time student, no age restrictions)

Check enclosed for $ _________

Signature _________________________________ Date ____________

_____ I am willing to help with public outreach activities such as Sky Tours or school star parties.
_____ I will help any way I can with Society activities.
_____ I would be willing to serve as an appointed or elected officer of the club.