Please print this page, fill it out, and send it with a check or money order to the address below. 

Trans Lunar Research Membership Form

Membership Categories

_______TLR Regular Member  $35.00 US

_______TLR Full Time Student Membership  $25.00 US


Personal Data:

Name:________________________________________________________________

Address:______________________________________________

City:_________________________________________

State:_______ Zip:________Country:______________

Telephone:______________________________

Work Telephone:_______________________________

FAX Telephone:_______________________________

e-mail:_______________________________________   _____ Check here if this is a renewal

Make checks payable to: Trans Lunar Research.  Remember, ALL membership donations are tax deductible and are used exclusively to support actual research efforts. Please send your payments to:

Trans Lunar Research Corporation 
P.O. Box 661 
Mojave, CA 93502-0661