MEMBERSHIP APPLICATION

MUTUAL UFO NETWORK OF NORTH CAROLINA, INC.       
     
  George D. Fawcett
  602 Battleground Road
  Lincolnton, N. C. 28092
  (704) 732-5725 (Home and Answering Service) 
 
MEMBERSHIP APPLICATION

Purpose of MUFON-NC

MUFON-NC believes that a concentrated scientific study by dedicated investigators and researchers will provide the ultimate answer to the UFO enigma and all of our efforts will be directed towards this purpose.

MUFON-NC will also serve as a "sounding board" where persons having UFO encounters, new or old, will be free to report their experiences without fear of ridicule or censorship.

MUFON-NC is also involved with leadership training for its investigators and the release of public information and education concerning it's findings.

Memberships:

MUFON-NC memberships shall be open to all persons 18 years of age and older at a cost of $5.00 per person of $10.00 for family membership. Junior MUFON-NC memberships for persons under 18 are $1.00.  Membership to MUFON-NC is required in order to receive meeting notices and attend meetings.  It is also required for voting privileges, and the right to hold office and serve on committees.  These dues are in addition to the regular annual MUFON $25.00 memberships.

This application should be sent to the address above. Checks should be payable to MUFON-NC for $5.00 or $10.00.


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Name_________________________Age____Occupation______________

Address_____________________________City__________St_NC_

Zip________

Telephone-Home:(___)__________Business(___)__________

(  ) MUFON-NC $5.00 Individual
(  ) MUFON-NC $10.00 Family
(  ) MUFON-NC $1.00 Junior

JACURUTU BBS / MUFONET SysOps John & Gail Feilke


                      MUFON  Mutual UFO Network, Inc.
_____________________________________________________________________________
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 ________________________________________
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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  [   ]

_______________________________
                                        Recommended by ______________________
_______________________________
Your State or Provincial Director:      Approved by _________________________

_______________________________                    Walter H. Andrus, Jr.

_______________________________                    International Director

_______________________________                 Telephone: (512) 379-9216

                           THE MUFON UFO JOURNAL

             THE OFFICIAL PUBLICATION OF THE MUTUAL UFO NETWORK

           JACURUTU BBS / MUFONET Sysops John & Gail Feilke

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