
Reasons to join NASA/Houston Rocket Club:
NASA/Houston Rocket Club
Membership level
A: Individual
$ 15.00
(circle A or B)
B: Family
$ 20.00
Name______________________________________________Age______
Address______________________________E-Mail
Address_______________
City_________________________________State____________Zip________
Home Phone(__)____________
Work Phone(__)_____________NAR #_____TRA#____
Certification Level 1,2,3
NAR ____ TRA ______
Please circle yes or
no to the following:
Do you have NAR insurance?
yes / no Are you NASA employee?
yes / no Are you a NASA Contractor? yes / no
Do you want your address,
phone number and e-mail adress published in the club roster? yes
/ no
*NASA/Houston Rocket Club
(NHRC) will not publish or release this information without your permission
to anyone other than NASA
(required for access.)
Complete for family memberships
only:
Name___________________________________Age_________NAR#______TRA#______
Name___________________________________Age_________NAR#______TRA#______
Name___________________________________Age_________NAR#______TRA#______
Mail completed form along
with your check or money order made payable to:
NASA/Houston Rocket Club
c/o Ron Ammons
P.O. Box 418
Dayton, TX 77535
Got more questions?
Call the Club president, Tom Lanier @ 713.666.5559
And see our WEB SITE
at http://pages.prodigy.net/warren/nhrc.htm,
or link from the
National Association
of Rocketry at Nar.org
or from Tripoli Rocketry Association at Tripoli.org