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 $20
Family 1 Year Membership $30
Prorated Renewal (enter rate from prorated members list)
Options: * Sky & Telescope Magazine 1 Year $32.95
Astronomy Magazine 1 Year $34
2 Years $60
Total Paid  

* NOTE: Magazine group subscriptions are only submitted to the publishers in October, March and July. It may take a few months for your first issue to arrive.

Form & payment check may be mailed to:
                N.A.A. c/o Bill Friebus, 224 S. Ahrens Ct., Lombard, IL 60148
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Office Use Only:   Received by:__________________________________   Date:______________
Amount: Cash: __________ Check:#_________$_________   Member Packet Provided:  __Folder   __CD