Type of Membership: *

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

Renewing NAL Member – please complete all areas so we can confirm your data in our system.

Please choose the correct membership type. Note that the Special Membership registration choice for new members only is at the bottom of the registration list below.

Full Name: First, Last *

COMPLETE MAILING ADDRESS PLEASE; 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)

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

If you are human, leave this field blank.

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