Membership Application

The Charlottesville Astronomical Society

Application for Membership / Membership Renewal

Membership Dues are $25.00 per individual, $30.00 per family, $15.00 with senior discount (65 or over), student discount, or military discount (active military) or $0.00 for Astro-OP Educator.  You may join any time of year.  Membership runs from December through the following November with membership renewal due at the December club meeting.  Those who join after October 1 of any year do not have to renew for the following year. Membership renewal is due by the first club meeting in December.  To join just print out and complete the form below and bring the form and your check for the appropriate amount made out to CAS to any CAS meeting or mail to Ed Preston, Treasurer, 4269 Stony Point Rd, Keswick, VA 22947-1506.

___Individual  ___Family   ___Senior   ___Student   ___Active Military  ___Astro-OP Educator

Name(s): _________________________________________________________________
For Family Memberships, please include other family member names.

Address: _________________________________________________________________

City: ______________________________ State: ____________ Zip: ____________

Home Phone: ________________________ Work Phone: _________________________

Email: ___________________________________________________________________

Signature: ____________________________________ Date: _________________

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