ASTRE

                        MEMBERSHIP APPLICATION

I hereby apply for membership in ASTRE.  I pledge to conduct all my
sport rocketry activities in compliance with the NAR Safety Code.


Name     __________________________________________________________

Address  __________________________________________________________

         __________________________________________________________

City     _____________________________________  State _____________

Zip code ________________________

Phone number   __________________________

Email address  __________________________

Date of Birth  __________________________

NAR number     ________________     Tripoli number ________________


Please check off the following as applicable:

[ ] New membership

[ ] Renewal

[ ] Junior member (under age 18) - $5.00 dues

[ ] Senior member (18 and over)  - $10.00 dues

[ ] Family membership, primary member - $15.00 dues for entire family

        Names: _________________________________________

[ ] Additional family member - no additional dues

        Names: _________________________________________
    
Please mail your completed application(s), including a check payable
to "ASTRE" to:

ASTRE Membership
c/o Alex DeMarco
43 Bloomingdale Ave
East Greenbush NY 12061


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