Membership Application

Your Name (required):

Physical Address (required)

Postal Address (required)

Telephone no.(H) :

Telephone no.(W):

Cell no. :

Your Email (required):

Do you own astronomical instruments (binoculars, telescopes, etc.)?

Do you belong to any other Astronomical Societies or Clubs?

Do you subscribe to any Astronomy magazines?

Would you describe yourself as beginner, amateur or pro?

Do you have special interests such as Moon, planets, stars, binaries, occultations, nebulae, galaxies, deep-sky, naked-eye viewing, telescopic viewing, astro-photography, telescope making, etc
(Highlight item, and hold ctrl button and left-click to select multiple items)

Annual subscriptions 2012: Members R120 (R50 Aug - Dec). Spouse/students/children: R70 (R30 Aug - Dec).
Payable in Cash or Cheque made out to Hermanus Astronomy Centre
and mailed to Pierre de Villiers, 8th Street, phone 028 313 0109.

You can also pay on-line - ABSA Hermanus.
Branch Code. 632005. Account number: 9230163786,
Account name: Hermanus Astronomy Centre. Reference: Your name (MOST IMPORTANT)

ENTER AMOUNT PAID:

Date paid:

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