CSSS Membership Form

To become a member of the Chicago Society for Space Studies, either:

Fill out the online form below and click the Join CSSS button.

Or

Copy the printable form at the bottom of the page and paste it into an email or a document, fill it out and either email or mail it to the designated address.  If you are making a voluntary donation, then mail the completed form along with your check to the address provided at the bottom.


9 + 15 =

If you prefer, you can copy and paste the following form into an email or document for mailing.

Chicago Society for Space Studies Membership Form

___ Yes, I want to support the educational activities of the
    Chicago Society for Space Studies by becoming a member.

___ Yes, I am also interested in funding space education and am
    including a check payable to CSSS for construction of the CSSS
    Lunar Display. Enclosed is a check made payable to the
    Chicago Society for Space Studies in the amount of:

    $_________________________

Please complete the following membership information:

Name:   _____________________________________________________________

Address:_____________________________________________________________

        _____________________________________________________________

City:   _______________________________________________

State:  ____________  ZIP:___________________________________________

Phone:  _____________________________________________________________

Email Address: ______________________________________________________



If sending a donation, please return this form and your check made payable to the Chicago Society for Space Studies to:

          Chicago Society for Space Studies
          700 Cape Lane
          Schaumburg, IL  60193

Thank you for supporting the Chicago Society for Space Studies and our educational mission.