IDA Membership Form
Please provide the information below along
with your check in USA dollars or credit card
information (we accept Master Charge and
Visa) and mail to:
International Dark-Sky Association
3225 N. First Ave.
Tucson, AZ 85719 USA
Annual Membership for individuals:
Dues level:
Member Sponsor
Supporter Sustainer
Patron Lifetime
Individual:
$30 *
$50
$100
$200
$500 $1000
* Student or Limited Income Individual Membership at $15
Name ___________________________________________________
Address _________________________________________________
Dues Level _______________________________________________
For credit card orders, please fill in the
following information:
Card Number: ____________________________________________
Card Type (MC or Visa): ____________________________________
Expiration Date: __________________________________________
Your Signature: __________________________________________