Network Home
Find Events
Find Clubs
Astronomy Activities
Night Sky Planner
Amateur Resources
Join the Network
FAQ
About the Network
Login
Home
>
Find Clubs
>
Brunswick Astronomy Club
>
Register
NETWORK NEWS
Planets Dancing in the Twilight
Brunswick Astronomy Club
About BAC
Club Website
Events
Map
Request an Event
Register
Contact Club
About BAC
Club Website
Events
Map
Request an Event
Register
Contact Club
Participation Guidelines and
Privacy Policies
Please complete this form to register as a current member of
Brunswick Astronomy Club
.
NAME AND CONTACT INFORMATION
First Name
:
Middle Name
:
Last Name
:
Nickname
:
Primary Email
:
Primary Phone
:
(Format: XXX-XXX-XXXX)
Alternate Email
:
Alternate Phone
:
(Format: XXX-XXX-XXXX)
Organization/Employer
:
ADDRESSES/OTHER INFORMATION
Mailing Address
Address
:
City
:
State
:
(select state or territory)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
Zip
:
Preferred starting address for directions to events
Street Address
:
City
:
State
:
(select state or territory)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
Zip
:
Secondary starting address for directions to events
Street Address
:
City
:
State
:
(select state or territory)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
Zip
:
FOR CURRENT CLUB MEMBERS ONLY
Cell Phone's Email Address for Text Messages:
What's this?
Personal information display preferences on Find Members (visible to all NSN Members)
OK to display name?
Yes
No
OK to allow contact by email? (Actual email address is not displayed)
Yes
No
OK to display primary phone number?
Yes
No
Personal information display preferences on Club Roster (visible only to Club Members)
OK to allow contact by email?
Yes
No
OK to display primary phone number?
Yes
No
Notification preferences:
Notify me of Club Event announcements by Email?
Yes
No
Notify me of Club Event cancellations by Email?
Yes
No
Notify me of Club Event cancellations by Text Message?
Yes
No
Notify me of Club Event cancellations by Phone?
Yes
No
Receive Emailed Club Newsletter?
Yes
No
Receive Emailed Night Sky Network Newsletters?
Yes
No
Comments
:
To confirm you are a human visitor, please enter the text shown in the box below.
New Search
ASP Home
Contact
Copyright