Naperville Astronomical Association
Membership Form
Your Information, as it will appear on the club membership list and mailings:
Name(s)  Phone  
Street  
City   State   Zip  
E-mail  
Monthly Newsletter Delivery
(choose one)		 Printed copy via land mail
Via e-mail as an Adobe Acrobat .pdf file
New member   Membership renewal   Other:
Individuals: Please list the name of each person in your membership who is likely to attend NAA meetings; this list will be used to create your nametag(s).

Payments:
Write one check payable to NAA (cash is accepted only at meetings)		 Rate Amount
Dues: Individual 1 Year Membership $24
Family 1 Year Membership $36
September Prorated Renewal (listing with August Newsletter)  
Option: Astronomical League membership(available during the August dues renewal period only) 1 Year $7.50
Total Paid  

Form & payment check may be submitted at a monthly meeting, or mailed to:
                N.A.A. c/o Dave Rivait, 688 Greenfield Road, Sugar Grove, IL 60554
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Office Use Only:   Received by:__________________________________   Date:______________
Amount: Cash: __________ Check:#_________$_________   Member Packet Provided:  __Folder   __CD