MAS Membership Form

Please print this form, complete, and mail with your check enclosed to the address below.

Name: _______________________________

Address: _____________________________

City/State/Zip: _________________________

Phone: _______________________________

Email: _______________________________

Students ($5.00)
Regular ($30.00)
Student Observing ($45.00)
Regular Observing ($70.00)

Enclose check and make payable to the Madison Astronomical Society

mail to
Mary Ellestad
2810 Mason Street
Madison, WI 53705