Membership Application for the  

 Hilltopper Astronomy Club

 

· To join the Hilltopper Astronomy Club, include cash or check for $12. $7.00 will stay with the club and the other $5.00 will go toward your membership in the Astronomical League.

· Please make checks payable to the Hilltopper Astronomy Club.

· Please bring or send your application to:

            WKU Physics and Astronomy Dept

            Hilltopper Astronomy Club

            1 Big Red Way

            Bowling Green KY 42101

(Please Print)

Name: ______________________________________________________

Phone #: (___)_______________________________________________

Local Address: ______________________________________________

City: __________________________ State: ______Zip: _____________

Permanent Address: _________________________________________

City: __________________________ State: ______ Zip: ____________

E-mail address: _____________________________________________

Please check one:

WKU Student: ____

WKU Faculty/Staff: ____

Other: _____

 

Please feel free to contact the Western Kentucky University Physics and Astronomy Office if you have any questions at (270) 745-4357 or (270) 745-6203.

Click here for a printable copy (Word Format)

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