The National Space Society vision is people living and working in space
NSS Gift Membership Form          
To join NSS yourself, please use our New Member Form
To renew your NSS membership, please use our Membership Renewal Form

"Mars from a Young Perspective" 
 by Javier Arizabalo Do you know someone who loves space?  Then give the gift of NSS membership.  They'll get a year subscription to Ad Astra magazine, plus much more!

A personalized gift membership certificate suitable for mailing is created for you to download immediately after your purchase.
"A Little Bit of Home" 
 by Walter Myers
Your gift recipient can also receive a special welcome email message and letter informing them of your generous gift.
 
Fields marked with a red asterisk * are required.  Enter "n/a" for fields that do not apply.
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Section I – New Member Information – (your gift recipient)

 Formal Title:       Formal Suffix (if any):  
( First Name = Given Name = Forename = Prenume   |   Last Name = Family Name = Surname = Nume )
*First Name(s):     *Last Name:  
Please provide an email address to receive confirmation, plus our email newsletter: Ad Astra Downlink.
*E-Mail Address:
Please select member's Country first.   If not found, select his/her Continent to bring up list.
*Country:
*Street Address:
 Address Line 2:
*Town/City:      
*State/Province:     Other:  
*Phone Number:      

Section II – Membership Information

All memberships below include subscriptions to both the Print (paper) version and Digital (online)
version of Ad Astra magazine, plus a subscription to our email newsletter: Ad Astra Downlink.
  (renewal prices range from $25 to $55)
or select one of our supporter levels to help NSS fund its activities:
|

  to my gift recipient.  I want it to be a surprise!
Message to include on gift notice: (maximum 240 chars)
 
Relationship to Member (optional) -- YOU are this person's ____?
*How did you hear about NSS?  
Chapter:     or Recruiter Code:  
Other information or questions:

Section III – Donor Information – (You)

*First Name(s):     *Last Name:  
Please provide an email address to receive confirmation of this transaction.
*E-Mail Address:
Please select your Country first.   If not found, select your Continent to bring up list.
*Country:
*Street Address:
*Town/City:      
*State/Province:     Other:  
*Phone Number:      

*Current NSS Member?      Membership # (if known):  

Section IV – Payment Information

To pay by check or to provide credit card information by mail or fax, use the paper version of this form.
 
Membership Dues: $   (If blank, select your Membership Level above.)
Additional Donation: $
Total Amount: $
*Credit Card Type:     Select VISA Select MasterCard Select American Express Select Discover/NOVUS
*Credit Card Number:
*Expiration Date: Month:       Year:  
*Cardholder's Name:

NSS is a non-profit 501(c)(3) organization.
Contributions to NSS are tax-deductible to the extent permitted by law.

The portion of Membership Dues above $12.50 ($9.00 for Digital-only) can be considered a donation for tax purposes.


   

 
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Updated Friday, 18-May-2018 14:10:57 EDT
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