UFO Research and Alternate Realities Center Application

Associate Membership Application
The Alternate Realities Center and the
United State UFO Information and Research Center
Post Office Box 153, Unicoi, TN 37692 USA
Extraordinary Experiences Hotline: (423) 743-9255
This is a printable and mailable application only.
Click Here for the live online version.

Name: First

Last:

Middle:

Age:

Occupation:

Address:

City:

County:

State/Province:

Zip Code:

Country:

Home Phone w/AC:

Work Phone w/AC:

Fax Phone w/AC:

Email Address:

Alternate Email:

Web Page, Site, or Homepage:

Education:

Other Training:

Please specify major field of your academic degree, Trade School, or Associate:

Bachelor:

Master:

Doctorate:

Please list other UFO and/or Paranormal Organizations to which you belong:

What is your prime interest in the study of UFO and/or Paranormal phenomena?

What, if any, in-depth UFO research have you done?

Are you an Amateur Radio Operator?

Call Letters:

Currently Active?

Yes

Are you an Amateur Astronomer?

Model of telescope:

Do you have a computer and modem?

Expertise:

Considering your interest, education experience, occupation and available personal time, in which capacity do you feel that you could best serve the USUFOIRC in UFO research and investigations? (check as many as may apply.)

Field Investigations Trainee	Amateur Radio Operator	Newsclipping Reporter	Journal Recipient	Associate Member Only