Membership Application

Tell Us About You!

Which membership tier are you most interested in?*

Space Cadet (standard)

Cosmic Cannaisseur (VIP)

First name*

Last name*

Discord username

Company name

Phone*

Email*

Birthday (MUST BE 21+)*

Month

Day

Year

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Would you like to receive periodic mailings at this address?*

Yes, please send me special invites and love notes.

No thank you, I get enough crap in the mail.

Allergies/Medical conditions*

Emergency contact, relation, and phone number *

Do you believe in aliens or other extraterrestrial life?

How did you find us? Were you referred? If so, by who?

Why do you want to be a member of AREA 42? What do you hope to get out of it?*

What is your t-shirt size?*

S

M

L

XL

XXL

Other

bottom of page