JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Adult HAS Membership Form 2024
Please insert your details below VERY carefully (one form per person).
*
Important:
t
his form is for
ADULTS
only - Young Astronomers have their own form. See our
Join Us
page for further details *
Adult fee is £45 (online only: £25).
If you have any queries, please contact us on
enquiries@havastro.co.uk
– thank you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. First name
*
Your answer
2. Surname
*
Your answer
3. E-mail
*
Please enter carefully, and include the "@" symbol.
Your answer
4. E-mail (re-enter)
*
Please re-enter, and include the "@" symbol. Ensure responses to Q3 and Q4 are identical
Your answer
5. Phone number
*
Your answer
6. First line of your address
*
Your answer
7. Town
*
Your answer
8. Postcode
*
Your answer
9. Payment amount
*
Please select one
£45 - full membership
£25 - online membership only
10. Payment type
*
Please select one (you will be contacted with further details if you select bank transfer)
Bank Transfer
Cash or cheque (can be handed over at Thames Chase)
11. How do you prefer to be contacted?
*
Please select one or both
By e-mail
By phone
Required
12. Please answer this question (as a number) - to prove that you are not a robot!
*
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
