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Since 28 March 1998
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Houston Space Society
Application for Membership

    Please use the form below to join the Houston Space Society. As a member, you will receive a membership certificate and card, The Journal for Space Development quarterly newsletter, and your invitation to HSS parties and events. Thank you! You may also wish to contact us by phone or mail.

    Sign me up as an HSS member for $25
    Sign me up for a monthly pledge of $100.
    Just send me more information.
    Send me a press kit, please.

    We need to get some information on how to contact you:
    Your First Name
    		 Your Last Name
    Your Street Address
    Your City
    		 Your State or Province
    		 Your Zip Code (or Postal Code)
    Your Country
    		 Your Email Address (Required)
    		 Your Phone Number
    Please indicate how you will pay for your order:

    Choose a payment option:
    If you are paying by check or money order, please see our contact information for our mailing address.

    Now we can get a few other pieces of information.
    Check this box if we may publish
    your name on the HSS home page
    Please tell us more about your request or inquiry:
    If you are finished with the form, please press the Submit button. If you wish to change all your answers, choose Reset.
    After you press Submit, you will be taken to a page indicating that your message has been sent. Thank you!

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