MN SFS SNAIL MAIL MEMBERSHIP FORM

Just Print Out This Form and Mail it to Us!

Help Us Create The Future Now

Support the Exploration and Development of Space

Name:__________________________________

Address:_______________________________

City:__________________State:__________

Zip + 4 (save us postage!):____________

Phone #:(______)_________-_____________

e-mail addr:___________________________

___ Student $15.00
_______________________(name of school)

___ Individual $20.00
___ Family $30.00
___ (number in family)
Total: $______
Please return this form with payment to:

MN Space Frontier Society

c/o David Buth
Membership Department
5120 Ewing Avenue North
Brooklyn Center, MN 55429

Last rev: November 9, 2005 -

dlb & rab