Application form

UK Subscription for one year: 12 UK pounds. You may pay for up to 2 years in advance. (For international rates, see below) I wish to become a member of the Society for Popular Astronomy.

BLOCK LETTERS PLEASE

I enclose a cheque/postal order* to the value of   ...............................
(*delete as applicable; payable to the Society for Popular Astronomy)

or   Please charge my Visa/Mastercard*       (*delete as applicable)

     to the amount of £......... Sterling 


     Credit card details

     Payment to be made this year only [  ] or every year [  ] (tick as required)

     Card number  [ _ _ _ _   _ _ _ _   _ _ _ _   _ _ _ _ ]

     Card valid from..............  Expiry date............

     Your name as shown on card............................

     Address of card holder if different from below................................

     ..............................................................................


Surname 
(Mr/Ms/Mrs/Miss)..................................................................

Forenames.........................................................................

Address...........................................................................

..................................................................................

..................................................................................

Age (if under 18)........................................

Signed...................................................

Date.....................................................

(Note for office: Internet application form)

International rates

Europe: 16 UK pounds a year.
Worldwide: 20 UK pounds a year airmail. 16 UK pounds by surface mail.
Subscriptions must be paid in UK funds only.

Send to: Enrolment Secretary, Mr Howard Avill, 2 Dunniwood Avenue, Bessacarr, Doncaster DN4 7JP