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