THE NATIONAL ORGANIZATION OF ADVANCED NON-PROFESSIONAL ROCKETRY
Tripoli Rocketry Association, Inc.
P. O. BOX 87 BELLEVUE, NE 68005
If you prefer, you may join or renew online via PayPal.
Name_______________________________________________________
Existing TRA Number (required for renewals)__________________
Address______________________________________________________
City___________________State_____Zip___________
Country___________________
Phone (home)____________________(work)______________________
(other)_________________
Date of Birth__________________
Occupation_____________________________________________
Email Address___________________________________________________
Membership_______________________________
(For renewals please be sure to provide your TRA Number in the field above)
| |
New Member |
Renewal |
| Senior (18 and Older) |
$70.00__ |
$60.00__ |
| Junior (Under 18) |
$30.00__ |
$20.00__ |
| Non-US |
$70.00__ |
$60.00__ |
| Student (18-24 with ID) |
$30.00__ |
$20.00__ |
| Optional Donation |
$______ (Any amount is appreciated) |
The fees above (U.S. Funds only) all include a one-time new member processing fee which will provide you with a Handbook and other materials. After your first year fees to renew will be $10.00 less. All memberships include insurance.
TOTAL PAYMENT
| Optional donation: |
________ |
|
| Total: |
________ |
|
I, the undersigned, understand that the Tripoli Rocketry Association, Inc. is 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 Association's By-laws and Safety Code, and that I will be an active member of the Association to the best of my ability.
Date___________________Signature____________________________________
Guardian's Signature (If Under 21)_______________________________________
You may pay by check, money order, or credit card (Visa, Mastercard, AmEx or Discover ONLY).
Card Number: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Expiration Date (4 digits - mm/yy): __ __ / __ __
My card is a: Debit Card____ or Credit Card____. (please check one)
Fax credit card applications to (303) 474-4738
THIS MEMBERSHIP APPLICATION MAY BE COPIED AS NEEDED