Send this application and payment to:
Christopher Neigh, Treasurer (MAD-AAG) 1129 Chinaberry Lane, Crownsville, MD 21032

If you need to contact Chris, please contact him at 301-614-6681 or at neigh@.gsfc.nasa.gov

Consider joining for LIFE, then you no longer have to worry about paying yearly dues!

NAME:____________________________________ HOME PHONE:(_____)_________________
E-MAIL ADDRESS*:________________________________________________________________
ADDRESS:________________________________________________________________________
CITY:____________________________________ STATE:_______________
ZIP:______________
EMPLOYER:_________________________________ WORK PHONE:(_____)_________________

DUES AMOUNTS: Regular Membership-$10.00 (Current AAG Member)
Associate Membership-$12.00 (Non-AAG Member)
Student Membership -$8.00 (AAG or non-AAG Member)
Life Membership-$120.00 (for AAG Members)

PLEASE MAKE CHECKS PAYABLE TO MAD-AAG