SACS-AAPT Membership Application

Title	Dr. Ms. Mrs. Mr. Choose One
First Name
Last Name
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Preferred Name to be Greeted by
Mailing Address (include extended zip code)
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Level	Pre-High School High School Two-Year College Four-Year College University Industry Business Research Choose One
Work Phone
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Interests

Membership Category	One year membership $5.00 Each additional year: $5.00x Lifetime membership $100.00 Choose One	years
Donations /optional/	$
Total payment	$

Feel free to leave out information that you do not want in the data bank.

Submit the above form.

The check payable to "SACS-AAPT" mail to: Dr. Fred Watts

Secretary-Treasurer, SACS-AAPT
Department of Physics and Astronomy
College of Charleston
Charleston SC 29424

For additional information write WattsF@cofc.edu or call (843) 953 - 8075.

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