LOGO High Power Rocketry Organization

KLOUDBUSTERS Membership Application

mail to...
KLOUDBusters Inc.
c/o Science Education Center
2730 Boulevard Plaza
Wichita, KS 67211-3812
 
Here is a membership application to K.L.O.U.D.Busters.  Use your web
browser's print function to printout the form, fill the form out, and 
mail it with a check to the address above.  Why join K.L.O.U.D.Busters?  
Well... the dues go to support the costs of the launch facility and 
launch equipment, you get a real neat newsletter periodically, info 
postcards with latest news updates, we have a yearly Christmas Party, 
and its the "right thing to do"!
Name _____________________________________________________________ Street _____________________________________________________________ City __________________________ State _______________ Zip ________ Home Phone ______________________ Alternate Phone _________________ DOB _____________ TRA # ________________ NAR # ________________ E-Mail Address ____________________________________________________ Occupation _________________________________________________________ Areas of interest (check all that apply)... design _____ construction _____ payloads _____ research _____ motors _____ ground support _____ mechanical _____ electrical _____ photography _____ altitude _____ tracking _____ writing _____ computers _____ high power _____ competition _____ Membership class Check If this is a Renewal . . . . . _____ Single annual membership $15.00 _____ Family annual membership $20.00 _____ I understand the K.L.O.U.D.Busters, Inc., and/or the Tripoli Rocketry Association, Inc., are not able to assume liability of any kind with regards to my activities or the activities of others. I agree to pursue my advanced rocketry activities in conformance with the by-laws and safety code of K.L.O.U.D.Busters and the Tripoli Rocketry Association and that I will be an active member of K.L.O.U.D.Busters to the best of my ability. Date _______________ Signature ________________________________________
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