North Jersey Weather Observers
 

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Please fill out and mail us the following information to become a member:

North Jersey Weather Observers

P.O. box 4945, Wayne, NJ 07474

Membership Application

Name: _______________________      Home Phone: ____________________

Address: ______________________     Bus Phone: _____________________

______________________________________________________________

Occupation: ______________________ Age (optional) ___________

Do you keep records? _______________ If so what kind? _________________

_______________________________________________________________

Instrumentation, if any. Please list manufacturer, if known. ___________________

_______________________________________________________________

Briefly describe your interest and background in weather: ____________________

_______________________________________________________________

Please circle any of the following committees or activities which interest you:

Newsletter    Library    Publicity     Communications    Public Relations      Standards

Meetings    Field Trips

Please enclose appropriate membership dues to cover subscription to The Weather Shelter, voting rights and activities according to the club's by-laws.  After July 1, current year dues are half the listed annual rate.  Between October 1 and current year end, dues paid at the full rate will also cover the following year.

Regular Dues: $25 /year        Student (23 max): $15/year

Check or money order payable to North Jersey Weather Observers.  Cash OK at the meetings

Signed: ________________________________________ Date: _______________

 
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Last modified: November 21, 2006