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Artemis Society International Membership Application

Join now and receive the magnificent Artemis Project Reference Mission Poster free! Click on the poster for a description. It's easy to join Artemis Society International by joining the Moon Society! The Artemis Society offers associate membership to all members of the Moon Society at no additional cost. So don't hesistate; join today and take your place among the spacefarers of the 21st Century! To join the Moon Society by mail, print out the form below and mail it along with your check or credit card information to: Moon Society P.O.Box 940825 Plano, TX 75094-0825 USA If the mail is too slow for you, you can join online with your credit card. Join Online Join by Mail

Moon Society
P.O.Box 940825
Plano, TX 75094-0825
USA

Payment by Credit Card

_____ Please charge my credit card US$ _________ for _____ years membership 
in the Moon Society at US$35.00 per year and enroll me as an associate member of Artemis Society International at no additional cost.

      ___ Also please charge my card for an optional donation of US$ _______.

      Check one: _____ VISA     _____ MASTERCARD     _____ AMERICAN EXPRESS

      Card Number ___________________________  Card Expiration Date _______

      Name on Card _________________________________ (please print legibly)

      Cardholder's Signature ______________________________________________

Payment by Check

_____ I prefer to pay by check.  Enclosed is _______ dues for ____ years of 
      membership in the Moon Society at US$35.00 per year.  

_____ I prefer to pay by international money order.  Enclosed is _______ 
      dues for ____ years of membership in the Moon Society at 
      US$35.00 per year.

      ___ Also enclosed is an optional donation of __________.

Please make your check payable in US funds (preferably drawn on a US bank) to
Moon Society.

Member Information

Name: __________________________________________________________________

Address: _______________________________________________________________

City: ________________________  State/Province: ________________________

Country: _____________________  Zip/Postal Code: _______________________

Day Phone: ___________________  Email Address: _________________________

_____ New Membership    _____ Renewal - ASI Member Number ______________