Msg # 9
Date: 07 May 91 02:38:29
From: Christopher Baker
Subj: Membership Application for Print-out
Membership Application For
American Atheists, Inc.
Last name ___________________________________________________________
First name __________________________________________________________
This is to certify that I am in agreement with the "Aims and Purposes"
and the "Definitions" of American Atheists. I consider myself to be
Materialist or Atheist (i.e. non-theist) and I have, therefore, a
particular interest in the separation of state and church and American
Atheists' efforts on behalf of that principle.
I usually identify myself for PUBLIC purposes as (check one):
___ Atheist ___ Objectivist ___ Agnostic
___ Freethinker --- Ethical Culturalist ___ Realist
___ Humanist ___ Unitarian ___ I evade reply
___ Rationalist ___ Secularist ___ Other:___________
I am, however, an Atheist and I hereby make application for membership
in American Atheists, said membership being open ONLY to Atheists. (Those
not comfortable with the appellation "Atheist" may not be admitted to
membership but are invited to subscribe to the American Atheist magazine.)
Both dues and contributions are to a tax-exempt organization and I may
claim these amounts as tax deductions on my income tax return. (This
application must be dated and signed by the applicant to be accepted.)
Signature _____________________________________ Date _________________
Membership in American Atheists includes a free subscription to the
monthly journal 'American Atheist Newsletter' as well as all the other
rights and privileges of membership. Please indicate your choice of
___ Life, $750 ___ Individual, $50/year
___ Couple Life, $1000 (Please ___ Age 65 or over, $25/year
give both names above.) (Photocopy of ID required.)
___ Sustaining, $150/year --- Student, $20/year (Photo
___ Couple/Family, $75/year copy of ID required.)
(Please give all names above.)
Upon your acceptance into membership, you will receive a handsome
gold-embossed membership card, a membership certificate personally signed
by Jon G. Murray, president of American Atheists, our special monthly
American Atheist Newsletter to keep you informed of the activities of
American Atheists, and your intial copy of the American Atheist. Life
members receive a specially embossed pen and pencil set; sustaining
members receive a commemorative pen. Your name will be sent to the
Chapter in your local area if there currently is one, and you will be
contacted so you may become a part of the many local activities.
Memberships are nonrefundable.
Send to: American Atheists, Inc., P.O. Box 140195, Austin_TX, 78714-0195.
--- D'Bridge B1046/00R
* Origin: Rights On! - Free of Religion! - Titusville_FL_USA (1:374/14)