Membership Registration Form
Name
*
First Name
Last Name
E-mail
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example@example.com
Phone Number
*
Address
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Street Address
Street Address Line 2
City
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Astronomical Leaugue Quarterly Newsletter 'The Reflector' Preference:
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Memberships
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Single Membership
Enter description
$
20.00
Quantity
1
Family Membership
$
30.00
Quantity
1
Student/Senior Membership
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
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Payment Methods
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Please click one of the PayPal options to complete payment and
submit
the form.
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