Membership Application                                                             PRINT this PAGE

Name :                                                                                                                                        

Email address for Newsletter delivery:                                                                                    

Address:                                                                          City:                                                    

State :                                                                                 Zip:                                                  

Home Phone:                                                     Work Phone:                                                  

Would you like to be added to an email list so we can notify you of last minute star parties
                    and other events? Yes _____ No _____

Enclose a check payable to PVAA:
     $30 for regular membership,

Send to:

     $40 for a family membership, or PVAA
     $12 for a student membership P.O. BOX 162
           (under 18 and in school). Upland, CA 91785

Personal Information & Comments:

In order to make the club as interesting and rewarding as possible,
        we would like to know more about you and your astronomical interests.

How did you learn about the PVAA?                                                                               

Are you: Just beginning             Moderately experienced              Very experienced          

What are you most interested in:   Star Parties            Newsletter            Meetings           

Presentations on Astronomy                     

Field Trips to Local Observatories and Astronomical Events                              

Are you most interested in nearby star parties for an evening's viewing                                  

or an overnight (or weekend) star party at a more remote (thus darker) site                           

What subjects would you like to learn more about?                                                            

Do you have a Telescope?                                      Do you have Binoculars?