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Membership Form Print E-mail

To join one of the most friendly and dynamic astronomical societies in New Zealand, print this form,
fill in, and post to The Phoenix Astronomical Society, PO Box 156, Carterton:

APPLICATION FOR MEMBERSHIP

NAME ………………………………………………………………………………………

ADDRESS …………………………………………………………………………………
       
    ………………………………………………………………………………………………

    ………………………………………………………………………………………………

Phone Number:

Email :

AGE (if under 16)    ……     OCCUPATION ……………………………………

TYPE OF MEMBERSHIP     

WAGED   ($40)   [  ]
Tick if your have full time employment
UNWAGED   ($30)   [  ]
Tick if you are a student or a beneficiary
FAMILY   (2 persons $45)   [  ]
Family membership includes
  (3 persons $50) [  ]
Couple or caregivers + children
  (4 or more $55) [  ]

ASSOCIATE   ($30)   [  ]
For people outside Wellington,Wairarapa,Hawkes Bay, Horowhenua and Manawatu areas)
INSTITUTIONAL   ($40)   [  ]
For schools, libraries, businesses(newsletter only)


NAMES OF FAMILY MEMBERS (Only if joining as members. 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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