Membership Form Membership "*" indicates required fields Your Name*First & Last PleaseHow your name should appear on your name tagThere will be a $5 fee for replacement First Last How your spouse/significant other name should appear on your name tagThere will be a $5 fee for replacement First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Phone*Do you want to be listed in WVAC's (Members Only) online directory?* Yes No Do you want to be added to WVAC's Star Party email list?* Yes No How did you hear about WVAC?Do you own a telescope?If yes, answer the next three fields. Yes No MakeModelApertureAre you interested in volunteering for community outreach (schools, scouts, public star parties, etc.) Yes No Special interests in the field of Astronomy:Would you be willing to present at a club meeting? Yes No In what astronomy topic(s) do you have advanced education, knowledge or experience in:Do you have any contacts that may want to present at a club meeting? Yes No How can we help you.... (select all that apply)* Buy a telescope? Get advice? Learn about Astronomy? Other? Select AllIf other, please explain.CAPTCHANameThis field is for validation purposes and should be left unchanged.