Name:__________________________________________________________
Address: ________________________________________________________ City:_____________________
State: _____________________ ZIP Code: ____________
Home Phone:______________ Work Phone:______________
Cell Phone:______________
Email: __________________________________

[ ] New Subscription [ ] Renewal

Date Paid:_____/_____ /_____

Amount $____________ enclosed in US Funds:
[ ] Check [ ] Cash [ ] Money Order

Primary Interest: ________________________________________________________

Special Skills: ( ie. Computers, science, language…)_______________________________

_____________________________________________________________________

Referred to COMUFON by: __________________________________________________

Family Membership
Name of spouse or partner: ________________________________________________

Name(s) of children (under 18 yrs. of age):_____________________________________

Print this form, complete all items and mail with cash, check or money order to:

Colorado MUFON
P.O. Box 471172
Aurora, CO 80047-1172 USA
Phone: [303]932-7709