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Amateur Telescope Makers of Boston, Inc. Membership Application
New Member Renewal

Send application and payment to: ATMoB c/o Tom McDonagh 48 Mohawk Drive Acton, M A 01720 617-996-5221 membership@atmob.org

Please join or renew online and keep your club profile updated at the www.atmob.org web site. If paying online, you can pay by credit card. Name (for family membership, include all family member names) Address City, State, Zip Code Home Phone Email Address Other Phone Alternate Email

Occupation (if retired, list previous occupation; if student, list major) Employer or School My Employer will match my donation

Membership List ­ Each year we publish our Membership List with name, city, email and home phone number and distribute this list to all members. Members use this list to contact observing buddies and others with similar interests. Privacy Policy ­ ATMoB does not sell or provide this information to anyone except members, and its use is limited to club business only. Although we encourage all members to be able to contact each other, you may withhold information from the membership list by checking the appropriate box below: W ithhold entire listing W ithhold email address W ithhold city W ithhold home phone

Dues ­ Senior Memberships are for those 65 or older. Student Memberships are for FULL TIME students of any age.



Family $45.00



Regular $35.00



Senior $15.00



Student $15.00

Additional Donations ­ Membership dues do not cover the costs of maintaining our clubhouse and observatory, running meetings, conducting public outreach programs, and publishing our newsletter. Please consider a donation to allow the membership dues to remain at their current level. Members wishing to receive the printed Star Fields are urged to donate $5.00 to defray mailing costs. The ATMoB is a 501c(3) charitable organization and donations are tax-deductible. Please consider contributing whatever you can. Astronomy and Sky & Telescope Magazines ­ Discounted subscriptions are available when ordering through ATMoB. Membership Type: Star Fields Delivery: Tax-Deductible Donation:



Family ($45.00)



Regular ($35.00)



Senior ($15.00) Student ($15.00)

Fill in Amount

Electronic (free) Clubhouse Operations $



US Mail (please donate $5) Clubhouse General Projects $ Fund $

Astronomy Magazine ($34.00 for 1 year) Sky & Telescope Magazine ($32.95 for 1 year) Make check payable to ATMoB, Inc.

Total:

$
Rev. 15 ­ 8/24/2015