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Maintained by BW |
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Membership Application
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| Name: | _____________________________________________________________ |
| Address: | _______________________________________________________________________ |
| _______________________________________________________________________ | |
| _____________________________________________________________ | |
| Telephone: | _____________________________________________________________ |
| E-mail: | _____________________________________________________________ |
| Please circle your participation level. Your gift, less the value of the taxable membership benefits, is tax-deductible to the extent provided by law. | |
| Individual | $50 |
| Student/Senior | $25 |
| Family | $100 |
| Contributor | $250 |
| Associate | $500* |
| Sponsor | $1,000* |
| Patron | $1,500 or more* |
| *____ If you would like to forego taxable membership benefits but still enjoy all other benefits, please check here. | |
| Please make checks payable to UHF - Friends of the Institute for Astronomy. To pay by credit card, please fill out the information below: |
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| Type | Visa/Mastercard/American Express/Diners Club |
| Number | ________________________________________________________ |
| Expiration Date | _____________________________________________________________ |
| Signature | _____________________________________________________________ |
Your contact information will be provided to the University of Hawaii Foundation, which manages the non-profit status and donations to the Friends program, but will not be distributed any further under any circumstances.
Mahalo for your support!