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Application for Membership Full voting membership is granted to organizations such as statewide aviation and space education councils meeting such criteria as from time to time may be set by NASEA's Board of Directors. Additional membership categories such as Financially Contributing and Affiiated Supportive organizations and individuals may also be designated. Currently there are no dues requirements. If you represent a statewide aviation and space education organization or alliance, especially one chartered as a nonprofit corporation or unincorporated association, please apply as a voting member. Otherwise express your interest by checking another appropriate category and we will keep you on our notification list. All applicants: please certify your application by signing and dating the form following the statement at the end. Name of Group or Person ______________________________________________
Title ______________________ Address _________________________________________________________ Address _________________________________________________________ City State ZIP ___________________________________ Office Phone _____________________ Group's Email Address __________________________________________________ Contact Person ________________________________ Contact's Phone ___________________ Contact's Email Address __________________________________________________ MEMBERSHIP CATEGORY (choose one)
Statewide Council/Group
(voting) Membership [ ] CERTIFICATION: I am authorized to apply for NASEA membership on behalf of the named group or myself. I/we agree with the objectives of NASEA as expressed in its published materials and website and will abide by any published requirements for my/our participation in NASEA. Signed __________________________________________ date __________________________ Print name ______________________________________ title
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