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First Name:   Middle:   Last Name: 
Address Optional Line:
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City:  State:   ZIP: 
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Home Phone:  Work Phone:
Contact Email:  Backup Email:
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Preferences
Each year, we publish our membership list with the name, city, email and home phone number of each opt-in member and distribute the list to the club membership. Members use this list to contact observing buddies and other with similar interests to their own. Privacy policy: ATMoB does not sell or provide this information to anyone except members and its use is limited to club business only. You may opt out of this list using the options listed below:
Display your name in the club list: Yes  No
Display your phone number in the club list: Yes  No
Display your email in the club list: Yes  No
Display your city in the club list: Yes  No

Membership Dues
Regular Membership ($25)
Senior Membership - 65 and older ($12.50)
Full time student ($12.50)
$25
I wish to receive the club newsletter by US mail
Land fund donation (tax deductable): $
General fund donation (tax deductable): $
Clubhouse fund donation (tax deductable): $
Sky & Telescope Magazine ($32.95 for one year)
  Enter subscription number if extending existing subscription: Help...
Astronomy Magazine ($34.00 for one year)
  Enter subscription number if extending existing subscription:

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