Member Information Form

Name:

Address:

City:

State: Zip:

Phone: required

E-mail Address:

Experience Level

Beginner
Intermediate
Advanced
Professional

Telescope(s)

Newtonian/Dobsonian
Newtonian/Equatorial
Refractor
SCT
Binoculars
Other       Describe:
Aperture: Inches Millimeters

f/Ratio:

Special Interests and Goals