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? _________________________
_____________________________________________________________________________
Are you an amateur astronomer? _______________
Model of 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 ________________________
Annual Membership
Membership Card Issued ________/______ Dues Received _______________________
(date) (amount)
Annual Membership Dues Received _______________________
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