MUTUAL UFO NETWORK - MUFON Annual Mem Fee: $25 APPLICATION FOR MEMBERSHIP Name _________________________ Age ______ Occupation ______________________ Address _________________________________________ City _____________________ State ______________________ ZIP code ____________ County _________________ Country ____________________ Telephone: Home ( )______________________ Work ( )______________________ Please enter your highest formal educational level or degree _________________________________________________ Other fields of specialized training ________________________________________ Are you an Amateur Radio Operator? __________ Call Letters _________________ Do you have a Citizens Band radio? __________ Call Letters _________________ List other UFO organizations to which you belong ____________________________ What is your prime interest in the study of the UFO phenomenon? _____________ _____________________________________________________________________________ Have you concentrated your research to a category? __________________________ If so, what is your specialized field of expertise? _________________________ _____________________________________________________________________________ Model of Are you an amateur astronomer? _______________ Telescope ___________________ Considering your interest, education, experience, occupation, and available personal time, in which capacity do you feel that you could best serve MUFON in UFO research or investigations? Consultant ______ State Director______ State Section Director ______ Field Investigator ______ Research Specialist ______ Astronomy ______ Contributing Subscriber ______ Amateur Radio Operator ______ UFO News Clipping Service ______ Field Investigator Trainee ______ Date ____________________ Signature ________________________________________ ***************************************************************************** Appointed to the position of ________________________________________________ and ____________________________________________ on ________________________ (date) Annual Membership Membership Card Issued ________/______ Dues Received _______________________ (date) (amount) Your State Section Director is: for: Adult [ ] Student [ ] _______________________________ JOURNAL Subcription [ ] _______________________________ _______________________________ Your State or Provincial Director: Approved by _________________________ _______________________________ Walter H. Andrus, Jr. _______________________________ International Director _______________________________ Telephone: (210) 379-9216 Please send to: MUFON 103 Oldtowne Road Seguin, Texas 78155-4099 ______________________________________________________________________________