Astronomy Club of Tulsa
Membership Application/Renewal Form

Name: ________________________ Phone: ( ) ____ _______

Address: ___________________________________________________

City / State / Zip____________________/____________/_____________

E-mail address - print clearly ________________________________________________________

Check Lines below for YES

____ I would prefer to receive E-mail notification when club newsletter is posted to the web.

____ I choose to receive my newsletter by E-mail ONLY instead of postal mail. (Usually 3 or 4 days earlier.  Must have web access)

____ Notify me by E-mail of late breaking Astronomy Events

Joining ACT includes Astronomical League (AL) membership unless otherwise noted.

Please check all that apply:

___ New Membership ($35)     ___ New Student Membership ($20)*     ___ New Student Membership (no AL) ($15)*

___ Membership Renewal ($35)     ___ Student Member Renewal ($20)*     ___ Student Member Renewal (no AL) ($15)*

* Student - Persons 25 or younger actively taking courses at college, trade school, high school, or below.

* Adult Student - Persons over 25 may join at the student rate for one year if enrolled in an astronomy course at an area college.

___ Sky & Telescope Subscription ($33) / year

Also includes 10% discount on most Sky&Telescope products.

___ Astronomy Subscription ($34) / year ($60) / two years

___ Night Sky Subscription (6 issues) ($18) / year

Magazine rates may change.  Prices available with membership only.

Please bring this application along with a check for the total amount made out to the Astronomy Club of Tulsa to the next meeting or mail the payment and application to:

Astronomy Club of Tulsa / 25209 E. 62nd St / Broken Arrow, OK 74014