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 (17 and Under)	$30.00__	$20.00__

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:	________

If you wish to subscribe to Rockets Magazine, you may do so at their website at http://www.libertylaunchsystems.com/rocketsmagazine/.

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): __  __ / __  __

Fax credit card applications to (303) 474-4738

THIS MEMBERSHIP APPLICATION MAY BE COPIED AS NEEDED
ALLOW 3 TO 4 WEEKS FOR PROCESSING