ASSOCIATE APPLICATION FORM

_________________________________________________
Name

_________________________________________________
Street Address

_________________________________________________
City            State/Province          Zip/Zone

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ASSOCIATE LEVEL   US only*   ASSOCIATE BENEFITS
Sustaining         $25.00*   International UFO Reporter (IUR)
Contributing       $50.00*   IUR + one Center publication**
Donor              $100.00   IUR + two Center publications**
Sponsor            $250.00   IUR, 2 publications & 1 Center case**
Research Patron    $500.00   IUR, 2 publications & 2 Center cases**
Benefactor        $1000.00   IUR for life, 2 cases/yr., and new
                                   CUFOS  publications free**
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Register me as an Associate of CUFOS at the following level: ______
                                              Amount:  $ _______
Also enclosed is my personal contribution of: Amount:  $ _______

                        TOTAL ENCLOSED:                 $ ___________

*   All other countries (including Canada & Mexico) please add $5.00
at these levels.
**  Associates at the Contributing level or higher are entitles to
one or more of the following publications:

        [ ] Check here if you wish no publications
        [ ] NEW! Examining the Earthlight Mystery (Greg Long)
        [ ] NEW! Controversy of the Circles (Paul Fuller & Jenny
                                                Randles)
        [ ] NEW! Gulf Breeze Double Exposed (Zan Overall)
        [ ] Journal of UFO Studies, New Series, Volume 1 (1989)
        [ ] UFOs: African Encounters (Cynthia Hind)
        [ ] The Spectrum of UFO Research (Proceedings of the 1981
                                        CUFOS Conference)
        [ ] UFO Reports Involving Vehicle Interference (Mark
                                                Rodeghier)

        The International UFO Reporter is published bi-monthly and
mailed to all current Associates of CUFOS.  The J. Allen Hynek
Center for UFO Studies is a not-for-profit educational organization.
A $25 contribution to the Center is tax deductible for Federal
income tax purposes in the amount of $13.  For tax deductibility of
the other levels of contribution, contact the CUFOS office.

        Thank you very much for your support of the Center!!

Mail this form and your contribution (checks payable to CUFOS) to:
             The J. Allen Hynek Center for UFO Studies
                        2457 W. Peterson Ave.
                          Chicago, IL 60659
                            (312) 271-3611