Hamilton Amateur Astronomers: Membership Application

Complete the following and print it out for submission to the HAA:

Name:

Address:

City:

Postal Code:

Phone #:

E-mail address:

Type of Membership:

Individual ($25 Cdn/year)

Family ($30 Cdn/year)

Royal ($50 Cdn/year)^*

Friend ($100 Cdn/year)^*

Patron ($250 Cdn/year)^*

Voluntary Donation $

^* These levels of membership confer the same rights and privileges as a Family membership. We greatly appreciate the additional financial support our members provide by signing up as a Royal, Friend or Patron.
Membership year is November 1 to October 31.
Applications received after July 1 are applied to the upcoming year.
The HAA is a registered, non-profit charitable organization (BN 8916 46267 RR0001). Donations over $15 and membership fees are eligible for tax receipts upon request.

Total: $

Please make cheque payable to:

Hamilton Amateur Astronomers P.O. Box 65578 Dundas, Ontario L9H 6Y6 CANADA