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Membership Application

Name of Primary Member:________________________________________

Mailing Address:________________________________________________

City:______________________State:_____Zip:___________

Name(s) of additional family members joining:
_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Age of primary member:________ Telephone:_______________________

E-Mail Address:________________________________________________

Do you wish to receive

mail advertising items of astronomical interest? _______________________

Astro equipment owned:__________________________________________

______________________________________________________________

______________________________________________________________


Special skills which might be employed by the OCA: (examples

include carpentry, machine shop, electronics design)

______________________________________________________________

______________________________________________________________

Classes of membership:
Regular @ $50_____ (additional family members @ $7 each _____
Special @ $30_____ Star @ $150_____ Life @ $500 _____
Newsletter Subscription Only $12_____ (Included with Membership)

Total enclosed or paid in person $ _________

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Club use only: Date received ____________ by __________________

You will receive a membership card and maps to our observing
sites. Keep the membership card with you at all times. It
will be used increasingly for site use and at meetings for
special drawings and other purposes.

Bring this form to the meeting or send it to:

Charlie Oostdyk, OCA Treasurer
P. O. Box 1762, Costa Mesa, CA 92628
e-mail: Charlie@CCCD.EDU

Membership Information
Membership Application

Download Application in PDF Fill-In Format

   

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