Please print this page, fill it out, and send it with a check or money order to the address below.
Trans Lunar Research Membership Form
Membership Categories
_______TLR Regular Member $35.00 US
_______TLR Full Time
Student Membership
$25.00 US
Personal Data:
Name:________________________________________________________________
Address:______________________________________________
City:_________________________________________
State:_______ Zip:________Country:______________
Telephone:______________________________
Work Telephone:_______________________________
FAX Telephone:_______________________________
e-mail:_______________________________________ _____ Check here if this is a renewal
Make checks payable to: Trans Lunar Research. Remember, ALL membership donations are tax deductible and are used exclusively to support actual research efforts. Please send your payments to:
Trans
Lunar Research Corporation
P.O. Box 661
Mojave, CA 93502-0661