CONTACT: Bruce K. Gagnon Secretary/Coordinator Global Network Against Weapons & Nuclear Power in Space PO Box 90083 Gainesville, Florida 32607 USA Phone: (352) 337-9274 or by e-mail (globalnet@mindspring.com).

GLOBAL NETWORK MEMBERSHIP FORM FOR 2002

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 2002 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 (        )_____________