Printable Subscription Form
Please send this form along with a cheque/postal order/bank draft for the appropriate amount(see below) to:

Astronomy Ireland          Subsciption Rates 2008 (Please specify)
FREEPOST Full: 48
P.O. Box 2888 Household: 48
Dublin 5 Student/Under 18*: 40
Unwaged/OAP(Over 65s)*:    40
Life: 960
Current Issue: 5

* Give Date of Birth(and a copy of Student Card or Unemployment Card, if applicable).
Name: _________________________________________

Address:

_________________________________________


_________________________________________


_________________________________________

Telephones(Day/Evening/Mobile):  

_________________________________________

Date:

_________________________________________

E-mail:

_________________________________________

Date of Birth:

_________________________________________

Subscription Category/Rate:

_________________ D.O.B.: _____/_____/_____

Donation:

_________________________________________

Credit Card Number:  

__________/_________/_________/__________
Expiry: __________/_________

Signature:

_________________________________________