SACS-AAPT Membership Application

If you would rather submit the form by regular mail, please download the form from PDF Membership Application form

Title	Dr. Ms. Mrs. Mr. Choose One
First Name
Last Name
Middle Initial
Preferred Name to be Greeted by
Mailing Address (include extended zip code)	Type your Mailing address including, the city, state and zip.
Institutional Affiliation
Level	Pre-High School High School Two-Year College Four-Year College University Industry Business Research Choose One
Work Phone
Fax
Home Phone
Email
Interests	Type your interests
Membership Category	One year membership $5.00 Each additional year: $5.00x Lifetime membership $100.00 Choose One 1 2 3 4 5 6 7 8 9 10 Lifetime years
Donations/optional/	$
Total payment	$

Feel free to leave out information that you do not want in the data bank.

After you submit the above form please write a check of the amount due payable to "SACS-AAPT" and mail to:

Dr. Fred Watts
Secretary-Treasurer, SACS-AAPT
Department of Physics and Astronomy
College of Charleston
Charleston, SC 29424

For additional information write WattsF@cofc.edu or call (843) 953 - 8075