Sierra Chapter, ATOS
Membership Application
Dues are for twelve months from the month received and cover all family members at home. Contributions in excess of $20 are tax deductible.

Friends receive the chapter newsletter and attend chapter meetings but do not enjoy other benefits of regular membership.

Regular level requires concurrent membership in the American Theatre Organ Society.

Membership levels above $20 receive coupons for free refreshments at our silent film events.

Make checks payable to Sierra Chapter, ATOS.

Complete this fill-in form, then print and mail it with your check to:

Membership Secretary
Sierra Chapter, ATOS
P.O. Box 2017
Fair Oaks, CA 95628
Name

Address

City

State

ZIP

Phone

Email

Name on Badge

Name on Badge

Membership Level

Friend $20

Regular $20

Contributing $25

Sustaining $35

Patron $50

Benefactor $100

ATOS Member

Yes   No