YES, sign me up as an MSAS member!

Name ________________________________

Business name _________________________

School name ___________________________

Address _______________________________

______________________________________

______________________________________

Phone ________________________________

E-mail ________________________________

Type of Membership _________ @ $ _______

NEW ____ RENEWAL ___

___ I wish to support the MSAS mission with an additional donation of $ ___________.

TOTAL ENCLOSED $___________

Please charge my credit card for amount above.

VISA - MASTERCARD - AMERICAN EXPRESS

Card # ________________________________

Expires _______________

Signature _____________________________

___ YES, I wish to volunteer my time. Please send me a volunteer form.

___ Please send a friend an MSAS information packet.

Name ________________________________

Business name _________________________

Address _______________________________

______________________________________

______________________________________

MSAS MEMBERSHIP APPLICATION

FORM

Please print this form, clearly fill it in and send form with memberhip fee to:

Mtn. Skies Astronomical Society

P.O. Box 1169

Lake Arrowhead, CA. 92352

Type of Memberships

Annual membership is from October to October

• SINGLE: Individual membership. $30

• FAMILY: All persons in the same household. $40

• STUDENT: 18 years old or under and enrolled in school. $20

• SENIOR: One membership for person over 65 years of age. $25

• BUSINESS: All benefits to current employees. $80

• LIFE: Individual or business membership (Non-transferable) $400

• CLASSROOM: All students enrolled in that classroom, teach receives e-mail news. ONLY $15.00