AOSNY MEMBERSHIP FORM

Only print the form below if joining via mail or directly, NOT by joining electronically.
IF MAILING, SEND IT TO:

Harvey Miller-AOSNY Treasurer
105 Betty Road
East Meadow, NY 11554-1601


Member Name and Birth Month/Date (NOT YEAR)___________________________________________

Spouse's or Significant Other's Name and Birth Month/Date (NOT YEAR)___________________________

Additional members and their Birth Month/Dates (NOT YEARS)_________________________________

___________________________________________________________________________________

Anniversary Month and Date (NOT YEAR) __________________________________________________

Address____________________________________________________________________________

Zip Code__________________ -__________________(9 number code please)

Home Phone No._________________________ Cell Phone No. ________________________________

E MAIL Address______________________________________________________________________

Substantial discounts are available on Astronomy/Sky and Telescope magazines with AOS membership.
Contact Harvey Miller for details, 516-794-7059 or hmiller@optonline.net.