B Reactor Museum Association
Membership and Renewal Application

The BRMA invites you to become a member of the Association. Your interest and participation will help to ensure the historical preservation of the world's first industrial-scale nuclear reactor, Hanford's B Reactor.

Please use the form below for membership RENEWAL as well as new membership.
Annual renewal date is October 1.

Print out the form below, fill it out, and mail it with your payment to:

B Reactor Museum Association
PO Box 1531
Richland, WA 99352
U.S.A.


I want to help preserve the history of the B Reactor. Here is my application with payment for
annual membership in the B Reactor Museum Association.

Name:________________________________________________ Date:________________
Address:___________________________________ City: _________________________
State: ________  Zip: ______________            MSIN address: _____________
                                             (for current Hanford Employees)
Phone: (h)(____)____-________  (w)(____)____-________
E-mail: ________________________________
Type:      ___New Membership      or     ___Renewal Membership

Category:  ___Individual ($20)    or     ___Senior/Student ($10)
      or   ___Group ($25 up to 100 members; please add $10
                     for each additional 100 members)
For Group membership, name of representative: _____________________________
Additional tax deductible contribution: $_______   Total Enclosed: $_______
(Tax ID # 94-3142387)

Please make checks payable to: BRMA . Thank you.
The current issueof THE MODERATOR will be mailed to you.
Questions? Send e-mail to info@b-reactor.org


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