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Name of President or Principal ___________________________________
Title ________________________________
Name of Company/Organization
_________________________________________________________
Address _______________________________________
City _____________________________ State/Prov ________ Zip __________
Country _______________________________________
Telephone _____________________________ Fax ______________________
E-mail address ___________________________________________________
Web site address _________________________________________________
Is your organization nonprofit? ____Yes ____No
Type of organization (check all that apply)
___ architectural design firm
___ exhibit design/production firm
___ film producer
___ planning/fundraising consultant
___ public relations firm
___ publisher/supplier of educational materials
___ scientific equipment manufaturer
___ scientific/educational association or society
___ other
(explain)_______________________________________________________
GOALS OF ASTC
Does your organization agree with ASTC's Statement on Science (listed below)?
____Yes ____No
Science is a human endeavor that uses observations and experimentation to
develop explanations of the natural world. Scientific theories are grounded
in and compatible with evidence, internally consistent, and demonstrably effective
in explaining a wide variety of phenomena. Science is based on hundreds of years
of scientific observation and experimentation and many thousands of
peer-reviewed publications.
Does your organization agree with and demonstrate a strong interest
in the goals of ASTC (listed below)? ____Yes ____No
- To further public understanding of science
- To show the impact of science and technology on society and culture
- to encourage diversity and participation by all peoples in the scientific enterprise, especially women, minorities, and other groups underrepresented in scientific and technological careers
- to serve as a vehicle for cooperative projects of mutual interest to its membership
- to advance the role of science and technology centers in society
- to cooperate with other educational agencies and organizations to further common goals
COMMUNICATIONS
How did you learn about ASTC? ______________________________________
________________________________________________________________
ASTC is committed to providing its members with time-sensitive and up-to-date
information on issues of importance to the science center field. So that your
organization may benefit from these services, we request permission to send
you
and/or your staff timely print, faxed, or e-mail communications, such as
ASTC INFORMS, ASTC SCANS, annual conference announcements, and related
marketing opportunities. Please indicate your institution's acceptance by
checking the box below.
[ ] As a benefit of membership ____________________________________
[name of institution] consents to receive communications sent by, or on behalf
of, the Association of Science-Technology Centers.
MarketPlace
ASTC offers its members the opportunity to be included in a free online products and services list, the ASTC MarketPlace. In addition to being available online, a print version of the MarketPlace guide is free to anyone who requests it. If your organization would like to be included, please select the following key words to describe your products and services.
___ Admission Ticket Manufacturer
___ Architectural Services
___ Display Equipment
___ Educational Materials
___ Educational Programs
___ Executive Search
___ Exhibit Fabrication
___ Exhibit Planning and/or Design
___ Exhibition Promoter and Producer
___ Exhibition Rental/Purchase
___ Fabrication Management
___ Fundraising/Development Consultation
___ Insurance
___ Interactive Technology/Products
___ Large-Format Films
___ Management Consulting
___ Membership Materials/Marketing
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| ___ Motion Simulators
___ Multimedia/Audio/Video Production Services
___ Multimedia, Projection, and Audio Equipment
___ Museum Electronics
___ Museum Marketing
___ Museum Planning/Feasibility Studies
___ Museum Shop Merchandise (wholesale)
___ Planetarium Equipment, Materials, Shows
___ Research and Evaluation
___ Restaurant Consulting
___ Robotics
___ Software
___ Theater Planning and Design
___ Theatrical Science Shows
___ Usability Research/Consulting
___ Web Design
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Using the above categories, under which two areas would you like to be indexed?
1.____________________________________
2.____________________________________
REQUIRED: Please send as many of the following materials as you can provide for the ASTC Membership Department's Review:
___ Annual report
___ list of principal staff, indicating title and department
___ brochures and other descriptive materials on your company's products or services
Dues: ______________ USD
___Payment by check (Check must be drawn on US Bank)
Payment by Credit Card:
___American Express
___MasterCard
___Visa
Credit Card Number ___________________________________
Expiration Date:___________________
Print Name as it appears on card _________________________________
Signature of Card Holder __________________________________________
ASTC reserves the right, in its sole discretion, and for any lawful reason, to reject any application for membership.
Please mail this application and your supporting materials to:
ASTC Membership
818 Connecticut Avenue NW
7th Floor
Washington, DC 20006-2734
U.S.A
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