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MVA Member Application Form
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* Indicates required question
Email
*
Your email
MVA Membership Type
*
Individual - Student (€25)
Individual - Professional (€50)
Other:
Name
*
First and last name
Your answer
Affiliation
*
Your company, university or organisation
Your answer
Short Bio
Your answer
Nationality
*
Where you were born?
Your answer
Where are you based?
*
Current City, Country
Your answer
Postal Code
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other
Are you interested in a specific MVA Working Group?
*
Select from the list below:
Moon Village Architectural Concepts & Issues
Moon Village Standards
Human Factors
Moon Markets & Missions – Forecasts & Financials
Lunar Data Harmonization
Moon Village Critical Services
Coordination & Cooperation
Moon Village & Exploration Analogues
Cultural Considerations
Outreach
Other:
What do you want to get out of MVA and what can you contribute?
*
Your answer
How much time can you dedicate to MVA per month?
*
Hours
Your answer
Signature
*
I hereby declare to be a Member of the Moon Village Association and pay the annual membership fee (€50)
Required
Contact Details
Skype ID
*
Your answer
Phone (Whatsapp) number
*
Your answer
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