Astronomical Society of South Australia Inc.

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                      MEMBERSHIP APPLICATION/RENEWAL FORM
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Annual membership fees are due before January 1st each year. Members joining 
after July 1st pay only half rates for the balance of that year.


Full Membership                                                  $45
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Adult, Family, School or other Institution within 40km
of the GPO Adelaide (one vote)


Concessional                                                     $35
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Student, Pensioner, Unemployed or
Country Location (>40km)


Residential                                                      $30
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Same address as full member. Second member does not
receive the bulletin


Astronomical Yearbook*                                           $18

Starfinder Planisphere*                                          $10

Metal Lapel Membership Badge                                     $7

Sew-on Fabric Logo                                               $7

Navy Blue Baseball Cap*                                          $15

Donations
    South Australia Telescope Fund                               $..............
    General                                                      $..............


*Add $3 for postage & handling unless collecting at a meeting



Surname: ....................................................

First Member's Given Name:  .................................

Second Member's Given Name: .................................

Mailing Address: ............................................

.............................................................

Telephone (optional): .......................................

E-mail Address (optional): ..................................

What year did you first join? .......  Second member? .......

Membership Type: ............................................

plus second Residential: ....................................



                                      Total Amount Enclosed:     $..............



Please tick the following items if you are able to help your Society in any way:


I can help at: [ ] schools
               [ ] Stockport
               [ ] The Heights
               [ ] Douglas Scrub
               [ ] Whyalla


I can do:      [ ] electrical
               [ ] plumbing
               [ ] welding
               [ ] gardening
               [ ] other      ...............................


I can supply discounts on ...................................


Once or twice a year, I can help to:
 [ ] collate the Bulletin
 [ ] make suppers


[ ] I Would like to receive my Bulletin electronically
[ ] Subscribe me to ASSA-Chat, the Society's email list
[ ] I have my own telescope
[ ] I would like information on ............................



Forward the completed application form to:
    Honorary Secretary
    Astronomical Society of South Australia Inc.
    GPO Box 199
    Adelaide SA 5001