Welcome Members/Prospective Members.  Below is an application for the 2018-19 membership year (July 1, 2018 – June 30, 2019).  Annual membership is $30 and you can pay online here or print and mail an application with a check.  Online payment is preferred.  Thanks!

For option (1), if you prefer not to apply online, please click the NAL Membership Application, print a paper version of the form, and mail it with a check payable to NALFL to:  Treasurer, P. O. Box 423, Titusville, Fl 32781.

 For option (2), to apply online please complete the form below.

If you are renewing and have no changes to your contact information, check the box indicating that status and submit the form.  Otherwise please complete all areas to the best of your ability, choosing the correct category for your personal participation. Note that the blocks with asterisks are mandatory.

If you are human, leave this field blank.

Type of Membership: *

New Member Application - Please complete all areas. You will be contacted by the Membership Chair.

Renewing NAL Member with changes in data - please complete areas needing change.

If you are renewing and have no changes in your contact information, please check here and fill in your name and membership registration.

Full Name: First, Last *

Mailing Address; Street, City, State, Zip Code

Home Phone Number: xxx-yyy-zzzz (or NONE)

Cell Phone Number: xxx-yyy-zzzz (or NONE)

Email Address: Enter NONE if you have no email address

Affiliation: Please pick the closest match and add information in the comments block if needed.

Former NASA

Former NACA

Former JPL

Formerly Assigned to NASA from any federal agency

Membership Registration: Please check the correct choice and click on the Paypal Link before hitting the SUBMIT button. *

Annual Member: Annual dues $30 (Attend meetings, receive information/notices, may serve on the Board)

Supporting Member: Annual dues $100 (All membership benefits plus recognition as a scholarship sponsor)

Sustaining Member: Annual dues $250 (All membership benefits plus recognition as an event sponsor)

Life Member: One time dues of $500 (All benefits of individual membership for the lifetime of the member)

Benefactor and Life Member: One time dues of $1000 (Lifetime member benefits plus recognition at events)

Contribution to the Florida Chapter Scholarship Fund (Minimum $10) (Listed as a scholarship contributor)

Please add a $10 Contribution to the Florida Chapter Scholarship Fund (I will be listed as a scholarship contributor)

Please provide your name as you'd like to see it on your membership card: *

Submit

Once you complete the application form, BUT PRIOR TO SUBMISSION, please submit payment via PayPal.

Please Note: PayPal costs about 3% of the total, so if you are making a large donation, please consider making your payment by check mailed to P. O. Box 423, Titusville, Fl 32781 or by cash at the next luncheon meeting.

Click Here to Pay by PayPal BEFORE you hit submit on the form…