Name

Telephone

E-mail Address

Web address

Telescope / astro equipment owned

May we publish your E- mail address and/or Web Site address for other member's use? Yes No

Would you have any objections to MMAS publishing a "Member's Profile" list which would include your name, address, phone number, and personal interests?  Yes No

(The purpose of this list would be to enable members within the club to identify and contact others with similar
interests. The basic information would also allow us to plan activities geared to the interests of the members.
The list would e sent to MMAS members only, or, at your request, kept only by the MMAS executive committee.)

What particular areas of astronomy are you interested in?

What other interests do you have which you may be willing to share with other members?

Would you be interested in membership in United Astronomy Clubs of New Jersey (UACNJ)  at Jenny Jump State Park?              Yes No

(MMAS needs members who can help to develop, plan, or implement various programs within the organization as well as those interfacing with the public?  In the following statement, please indicate in which area(s) you would be interested in helping.)

We need people particularly to help with: public observing and training events? , monthly activity planning? , refreshments at meetings?, field trips?, and Jenny Jump events?