GLOBAL NETWORK MEMBERSHIP FORM 2012

20 Years of Organizing to Keep Space for Peace

Membership in the Global Network Against Weapons & Nuclear Power in Space is open to all organizations and individuals.


Please add _______________________________to the Global Network membership list. (Organization/Individual Name)


Enclosed is our annual dues for 2012 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 www.space4peace.org and look for the orange 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. (If you have already recently donated for 2012 we thank you very much.)

** See our latest newsletter, Space Alert, on-line at this link (Be patient as it takes a bit to load since it is a big file.)


Global Network Against Weapons & Nuclear Power in Space
PO Box 652
Brunswick, ME 04011