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To join one of the most friendly and dynamic astronomical societies in New Zealand fill in this form, and send to: The Membership Secretary, Phoenix Astronomical Society, P.O. Box 156, Carterton 574, or pay into the society account:The Phoenix Astronomical Society, Westpac, Kilbirnie 030521 0205810 00. Please clearly identify your deposit. APPLICATION FOR MEMBERSHIP NAME …………………………………………………………………. ADDRESS ……………………………………………………….. ……………………………………………………….. ……………………………………………………….. Age (if under 16) ……………………OCCUPATION …………………................................................................... TYPE OF MEMBERSHIP WAGED ($50) [ ] Tick if your have full time employment UNWAGED ($40) [ ] Tick if you are a student or a beneficiary FAMILY (2 Persons) ($50) (3 Persons) ($65) (4 or more) ($70) Family membership Couple or caregivers + children ASSOCIATE ($40) (For people outside Wellington and Wairarapa areas) INSTITUTIONAL ($50) For schools, libraries, businesses (newsletter only) NAMES OF FAMILY MEMBERS (If also joining, include ages of children) ............……………………..................................... ASTRONOMICAL INTERESTS Please list in order of importance e.g. planetary observing, solar research, astrophotography..): ………………………………………………………………............................................................................................................. …………………………………………………………………......................................................................................................... OBSERVING Do you own your own binoculars or telescopes(s)? If YES, please give details: …………………………………………………………………............................................................................................................ Are you interested in participating in observing sessions? In the Wairarapa? Yes/No LEVEL OF KNOWLEDGE (1-5) ……………. (1 = Beginner, 5 = Expert) RESEARCH Have you ever carried out astronomical research? If so please give details. ……………………………………………………….......................................................................................................................... ………………………………………………………......................................................................................................................... Are you interested in learning how to conduct research? If so please detail preferred areas of interest. ………………………………………………………......................................................................................................................... ………………………………………………………......................................................................................................................... SUPPORT SKILLS Please detail any relevant skills or experience your are able to offer the society e.g. building skills, astronomical knowledge, organisational ability, willingness to participate in working bees etc. …………………………………………………………...................................................................................................................... ……………………………………………….................................................................................................................................... |
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