THE HEINLEIN SOCIETY MEMBERSHIP FORM

Please tell us how to contact you. Most information is optional, of course, but it will help us serve your interests better. The few fields we must have in order to enter you in our membership rolls are marked with *.

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E-mail addresses or any personal information we collect is never shared or transferred to any third parties, except as required to fulfill a request for information from the owner of the address. Under normal circumstances the owner's approval will be required before any address is passed on to a third party.

The Heinlein Society does not give out to enquirers any addresses or contact details for any author, artist, member or any individual or other information sources known to it unless these have been released as a public contact point by the owners.

First name *
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Last name *
Title
Organization
Street address *
Address (cont.)
City *
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Country *
Work Phone
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For which membership are you applying:
$35.00 Regular
$15.00 Supporting
(non-voting student or senior citizen)

Please check any or all of the following area which interest you
Academic
Aerospace Outreach
Literary
Blood Drives
Fund-Raising
Non-English Out-Reach
Education
Libraries
Membership

It's certainly not obligatory, but we'd like to hear how you first encountered Robert Heinlein's works -- or use this space to provide us feedback.