Society for Scientific Exploration: SSE Application Information and Form

Society for Scientific Exploration
Membership Application Form

Thank you for your interest in the Society for Scientific Exploration. In order to join, we need a payment in the form of a credit card number, check (drawn on a U.S. bank), or cash in U.S. dollars (not advised). Please print it out and return it to us via postal mail, or fax.
Looking forward to hearing from you.

Sincerely,
Thomas M. Dykstra, Ph.D.
Secretary, dykstralabs @ yahoo.com

All options include JSE subscriptions.

Application Levels:

* Please note that Member Status requires additional information.

** Students must provide Student Member information below.

Membership Information:
Full Name
Address
City
State
Zip
Country
Phone
Fax
E-mail

Student Membership Information	(required for Student Members):
Academic Institution
Major
Expected Graduation Date

Please note: To qualify for Student Member status, you MUST also mail or fax a copy of your most recent official class schedule to the address/fax number listed at the bottom of this page.

Credit Cards

Mastercard
Visa

Credit Card Number
Expiration

Areas of Interest

Alternate Order Methods

Print this form, fill it out, and return via postal mail or FAX to:

Society for Scientific Exploration
3499 NW 97th Blvd., Suite 6
Gainesville, FL 32606
Phone: 352-331-7008 (8 am to 5 pm M–F Eastern time)
Fax: 352-331-7008 (The machine is in a private, locked office.)

updated 2/27/2007

Society for Scientific Exploration Membership Application Form

Application Levels:

Credit Cards

Alternate Order Methods

Society for Scientific Exploration
Membership Application Form