Southern Atlantic Coast Section
of the
American Association of Physics Teachers

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	Full time Student (membership fee is $0) Pre-High School (membership fee is $0) High School (membership fee is $0) Two-Year College Four-Year College University Industry Business Research Choose One
Work Phone
Fax
Home Phone
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Interests	Type your interests
Membership Category	One year membership $10.00 Each additional year: $10.00x Lifetime membership $200.00 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. John Safko
Treasurer, SACS-AAPT
Department of Physics and Astronomy
University of South Carolina
Columbia, SC 29208