AANC Membership or Donation Form
| AANC does not have online payment,
so (1) fill out and print form below, (2) make check for $20.00 (or donation) to "AANC", (3) send both to: Richard Ozer RENEWAL NEW MEMBERSHIP |
YOUR NAME:
e-mail
and/or phone
If you are renewing or establishing new membership, please give:
| Club, Institution, or Business: | |
| Abbreviation: |
Check here if all data for form below is same as in AANC
Resource Guide--- skip the rest of the form.
Check here if MOST data below is same as in AANC
Resource Guide---
only fill out changed items ...
| Homepage (URL): | |
| Street Address: | |
| City: |
State:
Zip:
|
| Contact Person: | |
| Phone: | Fax: |
| E-mail: | |
| Alternate Contact Person: | |
| Alternate Phone: | |
| Alternate E-mail: | |
| Classification: | |
| Club meetings: (time and place) |
|
| Public Stargazing offered | |
| Comments/other: |
AANC Treasurer
Richard
Ozer
2539 Cordova St.
Oakland, CA 94602
rozer@pacbell.net
