Membership Level:
You have chosen to join as an associate . If this is not what you intended, hit the
back button and select the link for the partner membership level.
First Name* Last Name*
Title:
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Mr.
Ms.
Mrs.
Dr.
Professor
GTN Name*
This is the name of your facility, organization, institution, or observatory. This is the common
name that will be used to identify your group on the GTN.
Location
This is your geographic location. This could be the city or town where you are located, or the municipality nearest
to your location. You will also need to know your longitude, latitude, and elevation above sea level.
Web Location
If you have a web site for your facility or organization or institution, please specify the URL here.
Select the partner you wish or plan to work with*
Intended Program Activities*
What will you/your group do? Indicate all that apply...
People
List all active participants associated with your group. These could
be observers, faculty, researchers, administrators, or students. Separate names using a semi-colon, no need to mention the name
that is already on this form.
Email Contact*
List the primary email contact address for your GTN node. Information and announcements about the GTN will be sent
to this email address. This information will only be available to persons associated with the GTN.
Mailing Address
Address 1:
Address 2:
City:
State:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code:
Country*:
List a snail-mail address that may be used to contact you or your GTN node. This will be used for
special announcements or for mailing printed material about the GTN and associated space missions. This information will
only be available to persons associated with the GTN.
Phone
Additional Information or comments
If you wish, include here any information about you or your
organization that may be of interest to other GTN participants.
Enter the text shown in the image and then hit the submit button. Your information will not be forwarded to us until
you have entered the text and hit submit.
