FVAS Membership Form

Please fill out this application for membership to the Fraser Valley Astronomers Society.
All information entered on this page will be sent to Paul Greenhalgh for processing.
This is a private page and is used for FVAS business purposes only.

Please provide the following contact information: (Required fields are in bold type.) Use the [Tab] key to move between fields and press [Enter] or click [Submit] when you have completed the application

First Name
 
Last Name
 
Title
 
Organization
 
Address
 
City
 
Province/State
 
Postal Code
 
Country
 
Home Phone
 
Work Phone
 
Fax Number
 
Email
 
Website
 
Annual Membership Fees
(effective Jan 1, 2004)
  Full Membership ($25.00)
Family Membership ($40.00)
   
   

Note: Full membership allows you to vote, hold office [Executive], as well as be included onto the club email list.


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Site Designed and Maintained by FVAS Members.
All Rights Reserved.
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