Application for Membership ~
in 
The Wilderness Center Astronomy Club

NOTE: You MUST be a member of The Wilderness Center before you can join the Astronomy Club!


  • Print form and fill it out
  • Bring to meeting or mail the completed form
  • There are NO WCAC dues to be a member
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    The Wilderness Center Astronomy Club
    Treasurer
    PO BOX 202
    Wilmot OH  44689-0202


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First Name 

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Last Name 



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Street Address



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City

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State



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Zip

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Date



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Phone Number 

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E-mail


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