IPS Member/Directory Update Form

[REQUIRED] Name of Person filling Out Form (First and Last name):

[REQUIRED] Email of Person Filling Out Form:

Planetarium Name:

[REQUIRED] Institution:

Address (Line 1):

Address (Line 2--if necessary):

City:

State:

Postal Code: Country:

Phone #1:
Country Code City-Area Code Phone #

Type: phone fax toll-free recording other text note (if needed):
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Phone #2:
Country Code City-Area Code Phone #

Type: phone fax toll-free recording other text note (if needed):
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Phone #3:
Country Code City-Area Code Phone #

Type: phone fax toll-free recording other text note (if needed):
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Homepage (URL):

Email:

Opto-mechanical Star Projector Manufacturer and Model/Instrument: Years Installed:

Full-dome video or full-dome, full-color laser system: Year Installed:

2nd Full-dome video or full-dome, full-color laser system: Year Installed:

Dome Diameter: meters Dome Tilt: degrees Year Opened:

Number of seats:
Seating layout: Unidirectional Concentric Epicentric Other None Text (optional):
            
Seating notes (if needed):

Classification:

School University Museum/Science Center Observatory Other None
Classification, if "Other" is specified above:

Staff Person 1:
---Title:
--email:
--phone: Country Code City-Area Code Phone#

Staff Person 2:
---Title:
--email:

--phone: Country Code City-Area Code Phone#

Staff Person 3:
---Title:
--email:

--phone: Country Code City-Area Code Phone#

Staff Person 4:
---Title:
--email:

--phone: Country Code City-Area Code Phone#

Staff Person 5:
---Title:
--email:

--phone: Country Code City-Area Code Phone#

Staff Person 6:
---Title:
--email:

--phone: Country Code City-Area Code Phone#

Please remove the following names from our staff listing:

Questions/notes to Editor:

Shawn Laatsch
IPS Treasurer
Imiloa Astronomy Center of Hawaii
600 Imiloa Place
Hilo, HI 96720 USA
Phone: +1 (808) 969 9735
Fax: +1 (808) 969-9748
Email Shawn Laatsch

Dale W. Smith, Directory Editor
Dept. of Physics & Astronomy
Bowling Green State University
Bowling Green, OH 43403 USA
voice: (+1) 419-372-8666
fax: (+1) 419-372-9938
email: dsmith{at}newton.bgsu.edu