NAME: (please print)__________________________________________________________________

ADDRESS:___________________________________________________________________________

CITY, STATE, ZIP____________________________________________________________________

DAY PHONE: (____)___________________________

EVE PHONE: (____)____________________________

EMAIL ADDRESS: (please print very legibly!)

____________________________________________________________________________________

MEMBERSHIP CATEGORIES:
[_] Regular $24 [_] Family $36 [_] Contributing $40
[_] Sustaining $60 or more $___________ [_] Student $10 (digital newsletter only)

Optional discounted 12-month magazine subscriptions:
Note: Discounted magazine subscriptions to Astronomy and Sky & Telescope are now obtained automatically by simply subscribing to the magazine(s). You must first become a member before you can receive the discounts.

[_] Optional, tax deductible donation(s) to any of the projects of the Eastbay Astronomical Society:
Burns Library $_________ Betty Neall Youth Award Fund $_________General $_________Other:___________________________________ $_________

[_] EAS Lapel Pin $3.00 +$1.00 per pin for shipping and handling. # of pins_______
Total Amount for # of pins $_________
(Tip: If you buy them at a club meeting or event, you can avoid the S&H fee.)

Total Enclosed: $_____________

Please mail this form and your check or money order payable to:
Eastbay Astronomical Society
PO Box 18635
Oakland, CA 94619-0635

For more information, please contact club Treasurer Richard Ozer at (510) 406-1914, Treasurer, or write him at the address, above.

By default, (if you have an email address) you will be notified by email that the digital (.pdf) version of the club newsletter is ready to download off the club website. If you prefer to get the B&W hard copy, please check the box below:

[_] I prefer the hard copy mailed to the address entered above.

And,
[_] Are you interested in volunteering your time/equipment for public stargazing at Chabot?
[_] Are you interested in doing other volunteer work for Chabot and/or the Eastbay Astronomical Society?

THANK YOU FOR JOINING US!