Please complete the following by filling in blank lines and checking appropriate boxes. Provide either a home or school address where all mail will be delivered. Print form and mail form to Dr. Carl Rutledge at ECU Box X4, Ada, OK 74820 or bring it by ECU, P&ES 214.

Last Name

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First Name M.I.

Street Address or P.O. Box

City & State, or Province & Country


email address

CLASS(check one) ( ) 1. Undergraduate student, degree in _________________expected____/____

Subject:  ____________________________

2. Faculty ( )

3. Other (Specify)_____________________________________

Membership requirements: Must be a current East Central University student or faculty member.

Dues: Join the Astronomy Club for only $ 15.00 annually. Join SOCIETY OF PHYSICS STUDENTS for only $ 20.00 annually and receive membership in both organizations. PLUS: A free subscription to PHYSICS TODAY magazine.

To join SPS you must also fill out an additional form and include a $20 check made out to SPS. For the application for SPS go to this link or come by P&ES 212 or 208 for a form. Click here to learn more about SPS.

Please (Specify organization of choice)_____________________________

Modified Sept. 13, 2005.