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SOLENT AMATEUR ASTRONOMERS
FORM A - MEMBERSHIP APPLICATION FORM

Membership required - please tick or cross the applicable category and fee payable.

Joining period Family Single Reduced Single -
1st qtr (Sep-Nov) £35.00 £28.00 £14.00 Life - £280
2nd qtr (Dec-Feb) £26.25 £21.00 £10.50 -
3rd qtr (Mar-May) £17.50 £14.00 £7.00 Affiliation
4th qtr (Jun-Aug) £8.75 £7.00 £3.50 -
Group Name (Affiliation only): Number (Family only):
Surname: Forename: Date of Birth:
Surname: Forename: Date of Birth:
Surname: Forename: Date of Birth:
Surname: Forename: Date of Birth:
Surname: Forename: Date of Birth:
Address:
Postcode: Phone:
E-mail:

I / We*, the undersigned, apply for membership. I / We* do hereby agree that as a member / as members of Solent Amateur Astronomers, I / We* will be governed by their Constitution as it is now formed or as it hereafter be altered; provided that I / We* will indicate in writing to the Committee that I / We* wish to withdraw from membership, I / We* will be free of this obligation. (*Delete where applicable.)

Signature:



Date:


 

Please send this form and your payment to:
S. Oakley. 114 Ticonderoga Gardens, Woolston, Southampton. SO19 9HD.
(Or bring this form and your payment to any meeting and hand it to a Committee member.
Please make cheques/postal orders payable to "Solent Amateur Astronomers")

© Solent Amateur Astronomers, Derek Haselden, 2011