Membership

 Membership Categories:

• Individuals ($50)
• Seniors($35)
• Students($15)
• President's Circle ($150+)
• Friends of the Academy ($500+)

 Membership Application Form

*First name:
*Last name:
*Street 1:
Street 2:
*Town/City:
*State:	Choose One Massachusetts Alabama Alaska Arizona Arkansaw California Colorod Connecticut Delaware Florida Georgia Hawaii Idaho Illinoise Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip Code:
Phone #:
*email:
Where did you find out about us?

 *Membership Category (please check one)

Individual
Senior
Student
President's Circle
Friend of the Academy

 Optional Information:

Birthday:

Favorite science topics (please check as many as apply)

Biotechnology	Ecology
Medicine	Environmental Issues
Geology	Physics
Biology	Astronomy
Computer Science	Science Education
Microbiology	Natural History
Chemistry	Polymer Science

 Membership Packets

All Members will receive a membership card, a personal 'Thank You' from our president, brochures, pins, magnets and post-its.

President's Circle Members will also receive an MAS t-shirt in their membership packet.

Friends of the Academy have the choice of our MAS t-shirt or an MAS polo shirt, and they will receive an MAS tote bag to go along with their membership packet.

Check out our Online Store to see pictures or to buy our shirts!

T-shirt:

N/A Adult: Adult Small Adult Medium Adult Large Adult X-Large Youth: Youth Small Youth Medium Youth Large Infants: 6 Month - Pink 6 Month - Blue 12 Month - Pink 12 Month - Blue 18 Month - Pink 18 Month - Blue 24 Month - Pink 24 Month - Blue 2T - Pink 2T - Blue 3T - Pink 3T - Blue 4T - Pink 4T - Blue

Polo Shirt:

N/A X-Small Small Medium Large X-Large

Please note that the polo shirts run large, about 1 size larger than normal sizing.

 Payment Method

Cash
Check
Credit Card

Please push send and your information will be e-mailed to us. If you would like to pay with a credit card, continue on to the next page and please follow the instructions to complete the transaction using PayPal.

If you are paying with a check, please make the check out to the Massachusetts Academy of Sciences, and send it to this address:

MAS Applications
C/O Carla Goldstone
University of Massachusetts
Morrill III, Rm 306
611 N. Pleasant St
Amherst, MA 01003

If you have any complications or questions, please call us at: (413) 577-1306.

Don't forget! Many companies match contributions to nonprofits. Check with your personnel office.

Thank you for Supporting the Massachusetts Academy of Sciences!