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     ACTA SCIO Membership Application Form


Please complete, in full, the following form in block capitals, sign, date, print out and send with appropriate fee to:


Chairman, Gerry Cassidy, 97 Crofthead Road, AYR, Ayrshire, Scotland KA7 3NE


Please make cheques/POs payable to:


Astro Cosmic Terran Association SCIO




Full Name:


Address with Postal Code:



E-mail address:






I am applying for membership of ACTA SCIO and confirm that I am aged 18 years or over, will comply to the ACTA SCIO Constitution and have enclosed appropriate membership fee.


Signed:                                                              Dated:


*Annual membership subscription shall be £15 (adult), £10  (unwaged – subject to proof of status), £10 student  (subject to proof of status).


Astro Cosmic Terran Association SCIO (ACTA SCIO)

Registered Charity number: SC042560





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