CONTACT:

Bruce K. Gagnon
Secretary/Coordinator
Global Network Against Weapons & Nuclear Power in Space
PO Box 652
Brunswick, ME 04011
USA
Phone: (207) 443-9502
or by e-mail (
globalnet@mindspring.com).


GLOBAL NETWORK MEMBERSHIP FORM FOR 2017

Membership in the Global Network Against Weapons & Nuclear Power in space is open to all organizations and individuals.

Donations made by U.S. citizens to the Global Network are tax-deductible.

Please add ______________________________________________________________________
to the Global Network membership list.

Enclosed is our annual dues for 2016 in the amount of _________________
(pay what you can best afford on a sliding scale between $10 - $100)

Name______________________________ Address_____________________________________

City________________________________________________

State_____________________________ Zip/Postal Code__________________

Country____________________________________

Phone (        )_______________ E-Mail____________________________________

Fax (        )__________________
 


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