Creation Research,
Science Education Foundation

CRSEF Membership Application


Please print this application, fill it out, and send it with your check or money order to:

Creation Research, Science Education Foundation
P. O. Box 292
Columbus, Ohio 43216
United States of America

Please check one of the following types of membership:

_____ Individual Membership - $20/year
_____ Family Membership - $30/year
_____ Student Membership - $10/year
_____ Senior Membership - $15/year
_____ Sustaining Membership - $50/year
_____ Research Membership - $100/year


YOUR NAME

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YOUR ADDRESS (Please give us your complete mailing address.)

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YOUR COMMENTS

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Thank you for your application. A membership card will be sent to you.