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4. Address
5. City
7. Zip Code
6. State
9. Phone
8. Country
10. E-mail
INDIVIDUALS, fill in below

Church                                                                                                     City

If you have a degree in science or education, please list below:
STUDENTS, if you have selected your college major, please list below:
3. Name
If you are borrowing materials from our library at this time, you may include the membership fee along with the fee
for borrowing the materials.  Otherwise, send your check made out to
Lutheran Science Institute to:   

Mr. Craig Schwartz
1710 Ulster Street
Denver, CO  80220-2053
Comments or Questions?
1. This is a            NEW                  RENEWAL  membership application.
2. Choose
Membership
Desired
Voting Membership (WELS & ELS only) - 1 year $18

--3 years $42

--10 years $120

--Lifetime $200

Associate Membership (all others) - 1 year $25

--3 years $42

--10 years $120

--Lifetime $250
Student Membership (high school
or college -
1 year $5

Group - 1 year $25

Foreign - 1 year $25

Bundled - 5 copies minimum
- $6 per copy per year
Number of copies