GLOBAL NETWORK MEMBERSHIP FORM 2009Membership in the Global Network Against Weapons & Nuclear Power in Space is open to all organizations and individuals.
* Please add (Organization/Individual Name) to the Global Network membership list.
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* Enclosed is our annual dues for 2009 in the amount of __________________ (pay what you can best afford on a sliding scale between $10 - $100).
* Donations to the Global Network are tax deductible.
* One easy way to donate is using the internet. Go to our web site at http://www.space4peace.org/ and look for the red Donate Now! button and contribute via your credit card. This is a secure process.
Name_______________________________
Address____________________________
City________________________________
State______________ Zip____________
Country___________________________
Phone ____________________
E-Mail:____________________________________
Thank you for your support.
Global Network Against Weapons & Nuclear Power in Space
PO Box 652
Brunswick, ME 04011
(207) 443-9502
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