Membership Form (for credit cards)

1. Read about the types of membership on the Membership page. Membership runs from October 1 to September 30.
2. Complete the form below (you can TAB from one field to another, but do not press Return).
3. Click "submit" once at the bottom of the form.
4. After you submit this form, you'll be given a link to where you can pay for the membership securely via credit card.

NOTE: Questions about membership should be directed to the Membership Chair.

Membership Category: Choose HereRegular ($21)Student ($11)Senior ($11) <--Use this menu to choose a membership category.
Your Name:           
Title:               
Institution:         
Official Retired?    Choose HereYesNo
IPS Member?          Choose HereYesNo
Institution Address: 
City:                
State:               
Zip Code:            
Work Phone:          
Fax Number:          
Home Phone:          
E-mail Address:        (Check for accuracy!)
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Mailing Address, if different from above:
Address:     
City:        
State:       
Zip:         
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Newsletter Media Choice: Choose HerePDFPrintedBoth
Planetarium Type: Choose HerePortablePermanentBothNone
Institution Type: Choose HereSchool DistrictUniversityMuseumIndependentBusinessOther
     If "Other", specify here: 

Comments Section

Important Note:

1. Please click "Submit this Request" only once.
2. Review your information on the next page.