Antique Telescope Society - Membership Application
Join Today! - Become a member of the Antique Telescope Society today and begin receiving the highly acclaimed and informative ATS Journal. Don't miss any more issues!

Name _____________________________________________________
Address ___________________________________________________
City _________________________ State _________ Zip ____________
Country ______________________ Email ________________________
Home Phone (_______)______________
Work Phone  (_______)______________  Fax (_______)_____________

My particular interest in astronomy, or antique instruments that I own (optional): __________________________________________________________ __________________________________________________________ __________________________________________________________

Individual & Club Memberships
Regular Membership (includes 3 ATS Journal issues) $40.00
Extended Membership (includes 6 issues of the Journal - save 10%) $72.00
Astronomy Club* (includes 3 issues of the ATS Journal) $40.00
Student* [18 or younger] (includes 3 ATS Journal issues) $25.00
Associate (2nd family member) Voting rights but no additional Journal $10.00
Additional Contribution $____.00
Non-Profit (Libraries, Museums, etc. - Includes 3 issues of the Journal) $30.00
Contributing $100.00
Sustaining $250.00
Benefactor $500.00
* Club Membership, Students, & Sponsors receive one vote and one subscription to the ATS Journal, with the same privileges as a Regular Membership.
Complete this form and mail it with a check or money order to the Antique Telescope Society, Walter H. Breyer, Secretary, 1878 Robinson Road, Dahlonega, GA 30533. All Payments to be in U.S. Dollars.
Thank you for your support ... Your contributions help us continue our work.