Please print and mail this application along with the dues specified below to:

John W. G. Budd, Secretary/Treasurer
Astronomy Study Unit
29203 Coharie Loop
San Antonio, FL 33576
U.S.A.

Telephone: 352 588 4706   e-mail: jwgbudd@earthlink.net

ASTRONOMY STUDY UNIT MEMBERSHIP APPLICATION

 
Name: __________________________________________________                                                 

Address: ________________________________________________                                                     
             
             ________________________________________________

e-mail:    ________________________________________________                                                   

ATA # ______________     / / non-ATA     ASU # ______________              

Occupation: ______________________________________________                                            

 
Please check all of the following that apply to your interests.

My astronomy collection includes:

/ /general astronomy  / /astrology  / /Copernicus  / /astronomers  / /history  / /instruments          

/ /observatories  / /space programs  / /Zodiac

 Other: (specify) planets, solar system, eclipses, galaxies, meteors etc.

____________________________________________________________                                             

 
Types of material I collect:

 / /everything related / /stamps / /covers / /cancels / /postal stationery / /slogans, meters / /seals, labels

Other collecting interests: ______________________________________                                          

 

Dues enclosed for: / /one year, / /two years, / /___years.