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Amateur Astronomy on the Web
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Membership APPLICATION FORM (from Website)
(Please print this Form. You can  either mail it to the address shown below or bring it with you to the Centre)

Date:   __________________________
Name:  __________________________________
Address:  __________________________________________________
City: ________________________ Prov./State: _______  Postal/Zip Code: _______________
Telephone: ___________________                   E-mail: _______________________________
Year of Birth: _________       Occupation:   ___________________________
How did you learn about our Centre?:

      
Newspaper __     Public Event __     Internet __     Other __  (Specify Below)

_______________________________________________________________________________

Are you willing to volunteer?:  
Yes      No     (Please circle one)

    What do you hope to gain from your membership in the RASC ?:

    _____________________________________________________________________

    _______________________________________________________________________________


    Regular membership (age 21 and over)
       
      (includes all Centre services PLUS all Society publications)                              $64.00

Youth membership (age 16 to 20)
    
(includes all Centre services PLUS all Society publications)                              $41.50
                                                                             TOTAL:      $  _____.___
Please make your cheque or money order payable to :

Montreal Centre - RASC
P O Box 1752, Station B
Montréal, QC  H3B 3L3    Canada

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  MMV, Montreal Centre
The Royal Astronomical Society of Canada
P.O. Box 1752, Stn. B
Montreal, QC, H3B 3L3 Canada
Contact us by e-mail