ANTIQUE TELESCOPE SOCIETY INC.

ANTIQUE TELESCOPE SOCIETY INC.

AN INTERNATIONAL SOCIETY
MEMBERSHIP APPLICATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
MY PARTICULAR INTEREST IN ASTRONOMY, OR INSTRUMENTS THAT I OWN (OPTIONAL)
INDIVIDUAL & CLUB MEMBERSHIPS
prevnext( X )
Regular membership
1 year membership

$20.00 one-time payment



2 year membershop
save 10%

$36.00 one-time payment



3 year membership
save 16%

$50.00 one-time payment



Non-profit membership
save 16%

$30.00 one-time payment



Contributing sponsorship
Sponsors receive one vote with the same privileges as a Regular Membership. A portion of the Sponsorship will be considered dues and the rest a charitable contribution.

$100.00 one-time payment



Sustaining sponsorship
Sponsors receive one vote with the same privileges as a Regular Membership. A portion of the Sponsorship will be considered dues and the rest a charitable contribution.

$250.00 one-time payment



Benefactor sponsorship
Sponsors receive one vote with the same privileges as a Regular Membership. A portion of the Sponsorship will be considered dues and the rest a charitable contribution.

$500.00 one-time payment



Additional contribution
USD for each year

Recurring payments
If you prefer to mail in your application and payment download the PDF form, complete the form, and mail it along with a check (in US funds) made out to:

Antique Telescope Society
c/o Peter Bealo
82 Sweet Hill Road
Plaistow, NH 03865 USA
Should be Empty: