Grand Rapids Amateur Astronomical Association

Membership Form

Date:

Please fill out form completely.

Name:	Birthdate: - -
Name:	Birthdate: - -
Name:	Birthdate: - -
Name:	Birthdate: - -
Name:	Birthdate: - -
Name:	Birthdate: - -

Address:
City:				State:	Zip:
Phone:	(please include area code)	Cell Ph:	(please include area code)	Email:

Please list additional members email addresses on back of form or send us an email to the website at the bottom of this page.

Type of Membership: (Check type and include applicable dues)

ADULT  (18 or older, a Minimum of $40.00)	$
STUDENT  (8 to 17 years old, a Minimum of $25.00)	$
FAMILY  (a Minimum of $50.00) (note: Contributions greater than the minimum dues amount may be considered a donation, and are tax-deductible.)	$

Please Make Check or Money Order Payable to:

Grand Rapids Amateur Astronomical Association or G.R.A.A.A.

GRAAA TREASURER

c/o JERRY PERSHA

199 Smith Street

Lowell, MI 49331

Pressing Submit displays a printable form which you should print out, and mail to the above address.
No human other than yourself will see this information unless you send it to us!