2001 Chicago Society for Space Studies Membership Form
To become a member of the Chicago Society for Space Studies:
- Print this page.
- Fill out the form.
- Mail the completed form along with your check to the address provided at the bottom.
___ Yes, I want to support the educational activities of the Chicago Society for
Space Studies Please enroll me in the following membership category:
Chicago Society for Space Studies Membership
____ $ 15.00 Regular Member for 1 year
____ $ 30.00 Contributing Member for 1 year
____ $ 75.00 Sustaining Member for 1 year
____ $ 500.00 Lifetime Membership
For New Members Only Chicago Society for Space Studies Joint Memberships
____ $ 35.00 Joint CSSS/Space Studies Institute (SSI) Membership for 1 year
____ $ 40.00 Joint CSSS/National Space Society (NSS) Membership for 1 year
____ $ 50.00 Joint CSSS/SSI/NSS Membership for 1 year
For Renewing Members Only Chicago Society for Space Studies Joint Memberships
____ $40.00 Joint CSSS/Space Studies Institute (SSI) Membership for 1 year
____ $50.00 Joint CSSS/National Space Society (NSS) Membership for 1 year
____ $75.00 Joint CSSS/SSI/NSS Membership for 1 year
Please print your membership information:
Name: _____________________________________________________________
Address:_____________________________________________________________
_____________________________________________________________
City: _______________________________________________
State: ____________ ZIP:___________________________________________
Phone: _____________________________________________________________
Email Address: ______________________________________________________
Please return this form and your check made payable to the Chicago Society for Space Studies to:
Chicago Society for Space Studies
P.O. Box 1454
North Riverside, Il 60546
Thank you for supporting the Chicago Society for Space Studies
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