2001 Chicago Society for Space Studies Membership Form

To become a member of the Chicago Society for Space Studies:
  1. Print this page.
  2. Fill out the form.
  3. 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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