Global Network Membership Form 2019

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 2019 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. (If you've already donated for this year we thank you very much.)

(One easy way to donate is using the internet.  Go to our web site at www.space4peace.org and look for the green 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.  Best wishes in the new year.

Global Network Against Weapons & Nuclear Power in Space
PO Box 652
Brunswick, ME 04011
(207) 607-4255