Membership Form                                              

      NAME(1) __________________________________________________________________________
     
                   EMAIL(1)
__________________________________________________________________
    
      NAME(2)
__________________________________________________________________________
     
                  EMAIL(2)
___________________________________________________________________
     If this is a "double" membership, please enter both full names & email addresses.
     
Email addresses are used only for direct administrative contact from NCAS and for receiving
      event notices (Shadow of a Doubt) and other NCAS publications and announcements from NCAS.
 

      STREET: ________________________________________________________________________

      CITY, STATE, ZIP:  _______________________________________________________________

      DAY PHONE: _________________________       EVE PHONE:____________________________

Single 1 year $30  2 years $50 5 years $100 Life $200
Double 1 year $40  2 years $65 5 years $120 Life $250
Student 1 year $10
   
   A "Double" membership is for two members at the same mailing address, who will each have full
   NCAS member privileges, but receive one household copy of any printed NCAS publications.


   Circle your Membership type: Single, Double, or Student
   Students, please name your full-time attendance institution:_______________________________

   Enter Membership Duration __________ and Total Tax-Deductible Dues  $ ____________________

   Additional Tax-Deductible Contribution to NCAS  $ _________  Thank you.


   Mail form & check payable to "NCAS" to NCAS, PO Box 8428, Silver Spring, MD 20907

   Thank you for your new or renewed membership in NCAS.

   For further information or assistance, contact us at ncas@ncas.org or 301 587-3827

   Please join the low-volume, no-spam, members-only NCAS-SHARE email discussion list at
   www.ncas.org/emailsubscribe.html 
   
   NCAS Members do not need to subscribe to the NCAS-Announce email list, which is for
   non-members.