Order Form

ASE Annual Planetary Congress Collector's Edition Poster
(add $9 S&H/Insurance
per poster)

___1986 ___1987 ___1988 ___1989 ___1990 ___1991 ___1992

___1993 ___1994 ___1995 ___1996 ___1997 ___1998 ___1999

___2000 ___2001 ___2003 ___

The Home Planet Commemorative Edition
$200.00 (add $6 S/H) in U.S.)

ASE 1st Planetary Congress Cover
$95.00 (add $3 S/H in U.S.)

Cover Code_____________________

ASE Logo Polo Shirt (call for availability)
(S, M, L, XL) / royal blue or white
$35.00 (add $3 S/H in U.S.)

ASE Congress Commemorative (imprinted) Poster
$15.00 (add $3 S&H in U.S.)

___1986 ___1987 ___1989

ASE Logo Patch $10.00/each

Autographed Photos $20.00/each (include SASE)

SMEAT Patches $195.00/each, call for availability

Item Qty Size/Color Price Total
         
         
         
         
         
         
         
         
         
     

S/H:

 
     

Total:

 

Bill to:

Name___________________________________________________________

Address_________________________________________________________

City, State, ZIP_____________________________________________________________

Ship to (if different):

Name___________________________________________________________

Address_________________________________________________________

City, State, ZIP_____________________________________________________________

E-mail: (Required):_______________________________________________________

For credit card payments, please make sure your "Bill to" name and address exactly matches that on your credit card statement!

Visa / Mastercard (please indicate)

Card Number:

Expiration Date:

Card ID Number:

For check and money order payments, please print this form and mail it to:

The Association of Space Explorers-USA :
600 Gemini Ave.
Houston, TX 77058

Please call us at 281 280 8172 or fax this form to 281 280 8173 with your card information for faster service!