MEMBERSHIP REGISTRATION FORM (mandatory fields are marked*)
Step 1. Fill in your anagraphical data:
Family Name*				Name*
E-Mail*
City of Birth *		State/Province *		Country*
City of Residence *		State/Province *		Country*
Residence Address*				Zip Code*
Telephon *				Fax
Organization				Position

Step 2. Choose your membership class:

Check	Class	Fee
	SRI Earthly Ordinary Members	18,00 €
	SRI Earthly Students or Jobless	9,00 €
	SRI Planetary Members	100,00 €
	SRI Solar System Members	500,00 €
	SRI Oort Cloud Members	1.000,00 €
	SRI Galaxy Members	5.000,00 €
	SRI Universal Members	10.000,00 €
check your currency conversion to Euros

Step 3. Accept the Statutes of the Space Renaissance International and the Registration Conditions:

[check required*]		I have read the Space Renaissance International Statutes, and I accept it
[check required*]		I have read the Space Renaissance International Registration Conditions, and I accept it

Step 4. Type in your fee amount and choose the payment method:

POSITION FEE AMOUNT [check required*] By paying this fee I will be registered as a Member of the Space Renaissance International, and get my Membership Card, valid for the current year.

PAYMENT METHOD [check required*] Credit Card - PayPal (on the SRI PayPal account)

Step 5. Submit your registration

NOTES

(1)	The Space Renaissance International account is hosted by Technologies of the Frontier (Tecnologie di Frontiera).
(2)	Should you prefer to pay by a bank direct transfer, please write us here.
(3)	Your personal data will never  be given to any other entity, they will be maintained only in the registry of the Members and Sponsors of the Space Renaissance International.
(4)	The transfer is made on the Space Renaissance' account. You don't need to open your own PayPal account.
(5)	By clicking the SUBMIT button, You give your consent to treat your personal data as per the privacy italian law (L.675/96).