MUFON-LA - Membership Form

Application for Membership
Please fill out the form, then print, sign and mail it with your payment to the address below.
Name:
Address:
City:	State: Zip:
Phone:	- -
E-mail:
Occupation:
Employer:
How long have you been interested in UFOs?
What is your primary interest in UFOs?
What technical or non-technical areas do you have experience/abilities (e.g. engineering, medical, physics, astronomy, video, photography, meteorology) in which you can contribute to MUFON-LA activities?

Would you be willing to head up or work on such a project?
Are you interested in being trained as a volunteer UFO field investigator and would you be available on a 24 hour basis for quick response for UFO reports?
Have you or any member of your family had a UFO-related experience that you would like to discuss with a trained UFO investigator?
If so, please describe the general type of experience:
Comments:
By signing this application for membership in MUFON-LA, I represent that the information above is true and correct to the best of my knowledge. I understand and agree that if my application for membership is approved, I will not purport to represent or speak for MUFON-LA to the media, any person, group or organization, without prior approval of the MUFON-LA Board of Directors. Membership in MUFON-LA is separate from membership in *MUFON International. We encourage all MUFON-LA* Members to also join MUFON International. Signed: __________________________________________________ Date:_____________________
MUFON International Status: Investigator Trainee Field Investigator How did you find MUFON-LA? New & Renewal Annual Membership Dues: $25 Family Membership Dues: $35 (for first 2 family members) and $10 for each additional family member Make checks payable to MUFON-LA and mail to the address below Mutual UFO Network Los Angeles P.O. Box 94 El Segundo, CA 90245-0094 web: www.mufonla.com email: contact@mufonla.com