Mutual UFO Network
103 Oldtowne Road
Seguin, Texas 78155-4099 USA
Telephone: (830) 379-9216
Fax: (830) 372-9439

Application for Membership

Instructions: Print out this form, fill out and mail it with payment to address above.
Do not type into this form and then try to print it. It will not print your input!
Name: LastFirst:Middle Initial:
Age:Occupation:
Address: City: County:
State/Province: Postal or Zip Code: Country:
Home Phone:() Business:() Fax:()
Please indicate your highest formal education level attained:
High School Trade School Jr. College B.A.
M.A. M.S J.D Ph.D. D.Sc. M.D. Other
Please specify major field of your academic degree: Trade School or Associate:
Bachelor:Master: Doctorate:
Other Fields of specialized training:
List other UFO organizations to which you belong:
What is your prime interest in the study of the UFO phenomena?

What, if any, in-depth UFO research have you done?
Are you an Amateur Radio Operator? YesNo Call Letters: Currently Active: Yes No
Are you an Amateur Astronomer?Yes No Model of Telescope:
Do you have a computer and modem? Yes No Manufacturer and Model:
Email address:
Considering your interest, education experience, occupation and available personal time, inwhich capacity do you
feel that you could best serve MUFON in UFO research or investigations?Go here for descriptions of Volunteer Roles.
State/Provincial Director: State Section Director: Foreign Representative: Translator: Astronomy:
Consultant: Research Specialist: Field Investigator: Field Investigator Trainee: Amateur Radio Operator:
UFO News Clipping Service: Journal Subscriber: Associate Member:
Your membership application will not be processed without the appropriate Membership/Subscription Dues.
Please send $30 U.S. (or $35 in U.S. funds for a foreign subscription) to the address at the top of this form.
********************************************Office Use Only********************************

Appointed to the position of ________________________________________________



and ____________________________________________  on ________________________



Membership I.D.Card Issued ________/______  Annual Membership Dues Received ______________


Your State Section Director is:          for: Adult[ ]  Student[ ] JOURNAL Subcription[ ]

_______________________________                    

_______________________________        Reccommended by____________________________________

_______________________________
Your State or Provincial Director:     Approved by _______________________________________



_______________________________                               Walter H. Andrus, Jr.

_______________________________                               International Director

_______________________________

Note: This form courtesy Mutual UFO Network, Inc., (c) copyright 1998, all rights reserved.