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

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. (These packets are not mailed out.)

Transaction Type

New Member

Date (mm/dd/yy)
First Name, Last Name

Address
City
State		Zip

Home Phone	(Please include area code)
Email Address

Include my name/address in the directory published to RCA members	Yes No
Add me to the RCA Internet email list, a members' only posting site	Yes No
How do you want to receive the newsletter (pick one)	Internet U.S. Mail
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: