New, Renewing or Current
Member?
(select one) |
New Member (Welcome!)
Renewal (Welcome back!)
Current Member (for updating your contact information in the
MASA records) |
Dues Payment Method?
(select one) |
PayPal (Dues are a few cents higher to cover
the extra fees.)
After completing
and submitting this page, you'll
be taken to a confirmation page where you can add your
dues to a PayPal cart and then go through the checkout
process.
Check
After completing this page, please
mail a check for your dues to the MASA
Secretary/Treasurer. Please make your check
payable to Jason Colt. Do NOT make checks payable
to MASA!
Jason Colt
1803 Fulham St.
Lauderdale, MN 55113
None (select this if you're a current member updating your contact information in
the MASA records) |
MASA Member Number
(if applicable) |
(May be found on the back of your MASA name badge.) |
| First Name |
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| Last Name |
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| Address |
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| Address |
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| City |
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| State |
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| Zip Code |
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| Email Address |
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| Phone Number |
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| Other Phone Number |
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Your MASA Membership Level
(select one) |
Senior (18 or older) Dues: $10.00 per
calendar year
($10.80 PayPal)
Junior (17 or younger) Dues: $5.00 per calendar year
($5.40 PayPal)
Family (maximum of 4 people) Dues: $12.00 per calendar
year
($13.00 PayPal)
For family memberships, list the names of up to three
additional family members: 1
2
3
|
Newsletter Delivery Method
(select one) |
I'll download the PDF file from the MASA web
site (FREE and in color!)
Regular U.S. Mail. (Please add $6.00 per year to your dues
to cover printing & postage.)
($6.50 PayPal) |
NAR Member Number
(if applicable) |
MASA encourages membership in the
National Association of Rocketry, but does not require it. |
NAR HPR Certification Level
(if applicable) |
None |
Level 1 |
Level 2 |
Level 3 |
TRA Member Number
(if applicable) |
Some MASA members also belong to the Tripoli Rocketry
Association. |
TRA HPR Certification Level
(if applicable) |
None |
Level 1 |
Level 2 |
Level 3 |
Rocketry Interests
(check any and all that may apply) |
If you have other specific rocketry interests,
please enter them in the box below. |
|
If you have any notes,
comments, etc that you would like to pass along, please enter
them below:
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