Name:_________________________________________________________________ Address:______________________________________________________________ City:_________________________________________________________________ State/Province:____________________________ Zip/Postal Code:___________________________ Phone: ____________________________________ Membership Class (please check one): _____ Life Member ($300.00) _____ Supporting Member ($80.00) _____ Contributing Member ($40.00) _____ Educational Institution ($25.00) _____ Family Membership ($20.00) _____ Individual Membership ($15.00) _____ Youth Membership ($10.00) _____ Life Member (Electronic-only) ($300.00) _____ Supporting Member (Electronic-only) ($64.00) _____ Contributing Member (Electronic-only) ($32.00) _____ Educational Institution (Electronic-only) ($20.00) _____ Family Membership (Electronic-only) ($16.00) _____ Individual Membership (Electronic-only) ($12.00) _____ Youth Membership (Electronic-only) ($8.00)
Please print and complete this membership application and return with a check for payment
of dues to: