Apply for a Gift Milwaukee Astronomical Society Membership

If you're giving a membership as a gift, please fill in this first section with your name and contact information.

Your Name:

Your Address:

Your City, State, Zip:

Your Phone number:

Your relationship to the recipient:

Your email address:

What date will you be presenting the gift? (We will not contact the recipient until after that date)

 

In this section, enter the information for the gift recipient:

Recipient Name:

Recipient Address:

Recipient City, State, Zip:

Recipient Phone number:

Recipient email address:

Add recipitent's email to the MAS Google Group:  Yes    No  (This can be changed later)

Why would the recipient be interested in joining the MAS? What would they like to learn about?

What is the recipient's occupation?

Membership Type - A Resident is defined as a person living in Milwaukee, Waukesha, Ozaukee, or Washington counties. Non-residents are all other locations.

   Select one of the following:

  $46.00  -  Resident Individual
  $52.00  -  Resident Family
  $23.00  -  Resident Student
  $28.00  -  Non-resident  Individual
  $32.00  -  Non-resident  Family
  $20.00  -  Non-resident  Student

 

Payment Option. You can pay your dues thru PayPal (giving you the option of using a credit card), or by writing a check. Keep in mind there is a $2 surcharge for the PayPal option.

  PayPal
  Check