Rose City Astronomers Membership Form

New Member - RCA Membership Form
Current Member Renewal Form HERE

Use the TAB key to move through the form. Fill out the form completely and print out a copy using your browser software, or just print out the form and fill it in by hand. Either bring a copy to a general meeting with your check to register, or send a copy with your check (made out to "Rose City Astronomers") to:
          Membership, Rose City Astronomers,
          Oregon Museum of Science & Industry,
          1945 SE Water Avenue,
          Portland, OR 97214-3354

Your membership includes the whole family residing at one residence and is good until June 30 of next year.

At the general meeting, tell the hosts at the membership table that you registered by mail, and they will give you a New Members' Packet. (Due to the mailing cost these packets are not mailed out.)

Transaction Type

New Member Old Member rejoining after absence of more than 1 year.

Date (mm/dd/yy)
First Name, Last Name
Additional Family Member
Youth under 18 in family	Yes No

Address
City
State		Zip

Home Phone	(Please include area code)
Email Address
Additional Email Address

Add me to the RCA Internet Forum	Yes No
Would you like to be considered for a volunteer/future board position	Yes No

Do you have a special skill you would want to share with other members in RCA? (ie., signing for the deaf, public speaking, writing, web work, newsletter, accounting, legal, etc.) Please be specific:

_________________________________________________________________________________________

Membership dues are $24.00 per year and run from July 1 through June 30. Dues are prorated according to the month you join at $2.00 per month. Select the month you are joining and the amount due from the pull-down list at the right.	Month Joined/Dues to submit: Your membership will be valid until June 30th, 2010
Print a copy and bring or mail it to RCA