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Personal Information
Enter your First Name.
Enter your Last Name.
Enter the first line of your Address. (for example: 123 Main Street) This field will only be visible to site administrators. The content of this field is kept private and will not be shown publicly.
If needed, enter the second line of your street address here. This field will only be visible to site administrators. The content of this field is kept private and will not be shown publicly.
Enter your City here. This field will only be visible to site administrators. The content of this field is kept private and will not be shown publicly.
Enter your State (or Province or other local equivalent, if not in the United States) here. This field will only be visible to site administrators. The content of this field is kept private and will not be shown publicly.
Enter your ZIP Code (or Post Code or other local equivalent, if not in the United States) here. This field will only be visible to site administrators. The content of this field is kept private and will not be shown publicly.
Please enter your Country name here, if outside the United States. Please leave this field empty if you are inside the United States.
Please enter the phone number on which you prefer to be contacted. This field will not be visible to the public. The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
Rocketry Information
If you are a member of the Tripoli Rocketry Association, please enter your membership number here. If you have recently joined Tripoli, but don't know your number yet, please enter the word "Pending" here. Leave this field blank if you are not a member of Tripoli.
If you are a member of the National Association of Rocketry, please enter your membership number here. If you have recently joined NAR, but don't know your number yet, please enter the word "Pending" here. Leave this field blank if you are not a member of NAR.
If you have been certified by TRA and/or NAR to fly High Power Rockets, please enter your current certification level here.
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