Physics Society Membership Form

1995-1996 Academic Year

First name:
Last name:
Year in School:
Phone Number:
Major:
Address:
City (if not URH:)
Zip (if not URH)
E-Mail Address:

Please answer the following questions:

I would like more information about: (check all that apply)
Engineering Open House (EOH)
Physics Van
Helping the Physics Society create an exhibit for a C-U children's museum.
Astronomy Club
Illini Space Development Society

What night of the week is best for you to come to meetings?

Do you have any questions or suggestions about things you'd like Physics Society to do this year?