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  1.                       MUFON  Mutual UFO Network, Inc.
  2. _____________________________________________________________________________
  3. Annual Mem Fee: $25      APPLICATION FOR MEMBERSHIP
  4.  
  5. Name _________________________  Age ______  Occupation ______________________
  6.  
  7. Address _________________________________________  City _____________________
  8.  
  9. State ______________________  ZIP code ____________  County _________________
  10.  
  11. Country ____________________  Telephone: Home (   )______________________
  12.  
  13.                                          Work (   )______________________
  14. Please enter your highest formal
  15. educational level or degree _________________________________________________
  16.  
  17. Other fields of specialized training ________________________________________
  18.  
  19. Are you an Amateur Radio Operator? __________  Call Letters _________________
  20.  
  21. Do you have a Citizens Band radio? __________  Call Letters _________________
  22.  
  23. List other UFO organizations to which you belong ____________________________
  24. _____________________________________________________________________________
  25.  
  26. What is your prime interest in the study of the UFO phenomenon? _____________
  27. _____________________________________________________________________________
  28. _____________________________________________________________________________
  29.  
  30. Have you concentrated your research to a category? __________________________
  31.  
  32. If so, what is your specialized field of expertise? _________________________
  33. _____________________________________________________________________________
  34.                                                 Model of
  35. Are you an amateur astronomer? _______________  Telescope ___________________
  36.  
  37. Considering your interest, education, experience, occupation, and available
  38. personal time, in which capacity do you feel that you could best serve MUFON
  39. in UFO research or investigations?
  40.  
  41. Consultant ______  State Director______  State Section Director ______
  42.  
  43. Field Investigator ______  Research Specialist ______  Astronomy ______
  44.  
  45. Contributing Subscriber ______  Amateur Radio Operator ______
  46.  
  47. UFO News Clipping Service ______  Field Investigator Trainee ______
  48.  
  49. Date ____________________  Signature ________________________________________
  50. *****************************************************************************
  51.  
  52. Appointed to the position of ________________________________________________
  53.  
  54. and ____________________________________________  on ________________________
  55.                                                               (date)
  56.                                         Annual Membership
  57. Membership Card Issued ________/______  Dues Received _______________________
  58.                                                       (date)   (amount)
  59.  
  60. Your State Section Director is:         for: Adult [   ]  Student [   ]
  61.  
  62. _______________________________              JOURNAL Subcription  [   ]
  63.  
  64. _______________________________
  65.                                         Recommended by ______________________
  66. _______________________________
  67. Your State or Provincial Director:      Approved by _________________________
  68.  
  69. _______________________________                    Walter H. Andrus, Jr.
  70.  
  71. _______________________________                    International Director
  72.  
  73. _______________________________                 Telephone: (512) 379-9216
  74.  
  75.                            THE MUFON UFO JOURNAL
  76.  
  77.              THE OFFICIAL PUBLICATION OF THE MUTUAL UFO NETWORK
  78.  
  79.            JACURUTU BBS / MUFONET Sysops John & Gail Feilke
  80. *******************************************************************************
  81. *****************************************************************************
  82.