MEMBER APPLICATION and SURVEY OF ASTRONOMY INTEREST
Date ___________________ Name___________________________________________
Address _________________________________________________________________
Phone: (home) _________________________ (work) ____________________________
E-mail address: _______________________________
Annual Membership Dues:_____ Basic Dues $24.00 _____ Supporting Member's Dues $36.00 (Check Payable to E.M.D.S.O.)
"Sky & Telescope" $27.00 _____
"ASTRONOMY" $24.00 _____
Amount Enclosed: __________ Check # _______________
Do you have any objection to your name, address, or phone number being published in a club directory, available only to other club members? Yes _____ No _____
Interest Level? MERELY CURIOUS 1 2 3 4 5 RABID OBSERVER
Experience Level: Beginner _____ More than One Year _____ Over Ten Years _____ Other _______________
Do you own or have access to a telescope or binoculars? ______________________
What are your special interests related to astronomy?
Astrophotography _____ Telescope Making _____ Photometry _____
Other:__________________________________________________
Interests in visual observing? (Circle all that apply)
| Planetary | Deep Sky (non-solar system) | Stars |
| Lunar | Planetary Nebulae | Star clusters |
| Solar | Diffuse Nebulae | Galaxies |
Other __________________
Are you interested in participation in the operation of public observing nights?
Yes _____ No _____ Undecided _____ Need more info _____
Would you be interested in volunteering to staff the Schmidt-Scott Memorial Observatory (at East Central College) for public observing nights on an occasional basis?
Yes _____ No _____ Undecided _____ Need more info _____
Would you be willing to run for club officer? Yes _____ No _____ Need more info _____
Comments and/or expectations of club membership: ______________________________________________________________________________________
______________________________________________________________________________________
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