Name (Individual) ______________________________________________
or Both names (Family): ________________________________________
Address: _______________________________________________________
______________________________________________________
City, State, Zip: _____________________________________________
Phone #: _________________________
Email address:_______________________________________
Permission to send newsletter by email: [ ] Yes [ ] No
New in 2008 -- Annual Membership Rates Jan - Dec (Renewable in December and January)
| [ ] | Individual | $20 | [ ] | Contributing | $40 |
| [ ] | Family | $25 | [ ] | Benefactor | $150 |
| [ ] | Student | $8 | [ ] | Life | $300 |
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