NHAS - Request Form

Bold fields are required.

Personal Information

Your personal information will only be used to respond to your request. We respect your right to privacy and will never sell or disclose your information to anyone outside of NHAS.

First Name:

Last Name:

Organization:

Address:

City:

State:

Zip/Postal Code:

Country:

Contact Information

Please enter your full email address, for example, name@domain.com

It is important that you provide a valid, working email address that you have access to.

Best Way to Contact You? Email Phone

Email: We will never sell or disclose your email address to anyone.

Re-enter Email: Must match the email address you just entered above.

Home Phone:

Work Phone:

Request Information

Skywatches

If you are requesting a skywatch, please include the following in the comments section:

Date of event
Do you want a presentation before the skywatch?
Start and end times
Specific interests (Scout Awards, Planets, Galaxies, etc.)

Your Request Schedule a Skywatch Request a Presentation Join NHAS Library Telescope Program Telescope Question Other

Question or Comment: Max. 1000 characters.