Zia Spacemodelers Rocketry Club
Membership Application Form

First Name: Last Name:
Address: Address line 2:
City: State:       ZIP: 
Phone: Email:
NAR#:      Junior      Leader      Senior

I am interested in:
Model Rockets High Power Competition Radio Control

Annual club dues are $12 for adults, $6 for members under 18 years old. You may mail a check to the address at the bottom, or pay in person at the next monthly launch. We also accept online payment through PayPal.
Payment option:
Any comments?

Payment submitted by mail should be sent to:

Zia Spacemodelers
432 Pruitt Avenue
White Rock, NM 87544

Make checks payable to Zia Spacemodelers.