Space Topics Study Group (Space Unit)

Membership/Renewal Form

affiliate of the

AmericanPhilatelic Society

The American Topical Society

Mail To: (For New members)                         (For Renewals)
David Blog                                                Terry Chamberlin
PO Box 174                                              5901 Mark Ln.,
Bergenfield, NJ
07621                                 Rowlett, TX 75089
USA                                                          USA

Please enrole me as a member of the SPACE UNIT (all charges are in US dollars)

$15.00  Yearly Dues including 6 issues of The Astrophile, mailed 3rd class

             $1 New Member enrollment fee (one time only)

             Add $8 for postage to Canada and Mexico or $22.00 elsewhere
(Note: The US no longer has surface rates overseas. Everything under 4 pounds goes via air)

             Donation to help an overseas collector offset costs

            TOTAL ENCLOSED

Payment can be made by _check, _money order or PayPal
Make checks or money order payable in U.S. Funds to: Space Unit

NAME    : _________________________________________________________

MAILING ADDRESS : _________________________________________________

        : _________________________________________________________

CITY    : ____________________________ STATE :________  ZIP :______

COUNTRY : _________________________________________________________

EMAIL   : _________________________________________________________