Please fill out the following fields with your information. Fields marked "Optional" do not have to be filled in. Please do fill in all other fields.
Note that the NYAA does not sell its membership lists to outside organizations or individuals; this information is used only within the club.
Your name (e.g. John Smith):
E-mail (e.g. jsmith):
Home Number (e.g. 905-555-1234):
Work Number (optional):
Fax Number (optional):
Postal Mailing Address
Questionnaire
Please indicate your URL
Please indicate your specific areas of interest in Amateur Astronomy:
Suggestions for the club, other comments (in confidence)
Print and mail your completed form and cheque (payable to "North York Astronomical Association") to:
Marc Castel NYAA Membership Coordinator RR#5 Orangeville ON L9W 2Z2
For more info, please call Marc at 519-???-???? or e-mail