KVAS Membership Enrollment Form
Kanawha Valley Astronomical Society
Charleston, WV
www.kvas.org
MEMBERSHIP APPLICATION
The Kanawha Valley Astronomical Society is a non-profit educational organization dedicated to the promotion of amateur astronomy in and around the Charleston, West Virginia area. A Regular/Family Membership is open to all individuals 18 years of age or older. Family Memberships includes immediate family only. Our meetings are held at the Hansford Center in St. Albans, WV on the third Friday of each month at 7:30 PM. By joining, members agree to abide by club rules and bylaws.
Membership Information: Please print
Membership Regular / Family* - $25 ____ Enrollment date ___________
Please make checks payable to: Kanawha Valley Astronomical Society
Member Name ___________________________________
Family Member Name ___________________________________
Family Member Name ___________________________________
Family Member Name ___________________________________
Family Member Name ___________________________________
Family Member Name ___________________________________
Street Address _________________________________________________________
City__________________________ State _______ Zip ____________
E-mail__________________________________
Phone ________________________ (check one)__Home __Work __Cell
* Each regular / family membership has one full voting privileges for the regular member. All family members are entitled to attend all society activities and meetings.
Please mail the completed form along with your dues payment to our president:
Robert Frostick
P.O. Box 6885
Charleston, WV 25362
Revised: September 5, 2010