Membership

THE ANOMALY ARCHIVES

Lending Library of the Scientific Anomaly Institute:

Membership Application

Only $20 Per Year. Use our automated PayPal subscription button below or Make Checks Payable to The Anomaly Archives

PLEASE NOTE: In order to check out materials from the Archives and take them home, you will need to furnish, in addition to your membership fee, two forms of identification including your name and correct address. These can be in the form of Driver’s License, Utility Bills, etc.

Date: ______________ Staff: __________________

Full Name: ______________________________________________________

Address: _____________________________ (Street – No P.O. Box)

_____________________________ (City, State, Zip Code)

_____________________________ (Country, Province)

Phone Numbers: _____________________ (Home)

_____________________ (Work)

_____________________ (Mobile)

_____________________ (Fax / Other)

Email: _________________ (Primary) _________________ (Secondary)

How Referred: _________________________________________________________________

Areas of Interest: ____________________________________________________________