Chippewa Valley Astronomical Society Membership Form

Name(s)__________________________________________________________________

Address _________________________________________________________________ 

City/State/Zip __________________________________________________________

Phone ________________________________________ 

E-mail (for society notices only) _______________________________________

Type of membership (check one): 

__________  Individual ($15)

__________  Family     ($20)

__________  Full Time Student ($10)

All memberships run from January 1 to January 1.  

Members joining in the middle of the year may pro-rate their dues.  

Make checks payable to, and return to: 

Chippewa Valley Astronomical Society; 

c/o Beaver Creek Reserve;

S1 County Road K 

Fall Creek, WI 54742