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Join or Give
Mail-in Membership Form
for Sierra Club Membership

Join the Sierra Club today! Print this page, then fill out the information below.

 

  
First Name: __________________________________________

 
Last Name: __________________________________________

 
Address: __________________________________________

 
  __________________________________________

 
City: __________________________________________

 
State: ___________________

 

 Zip Code: _______________
Phone: ___________________

 

 Fax: _______________
Email: __________________________________________

 

May we correspond with you via e-mail?    Yes: ___    No: ___

From time to time, we make our mailing list available to other worthy organizations. If you prefer that your name not be included,
please check here: ___

Please select a membership level:

Individual Membership

Joint Membership
___ Introductory $25
___ Regular $39 ___ Regular $49
___ Supporting $75 ___ Supporting $100
___ Contributing $150 ___ Contributing $175
___ Life $1000 ___ Life $1250
___ Student $25 ___ Student $35
___ Senior $25 ___ Senior $35
___ Limited Income $25 ___ Limited Income $35

Please select a payment method.

If you're paying with a personal check, please make it payable to the Sierra Club and send it to the address below.

AMEX: ___

Mastercard: ___

Visa: ___

Sierra Club MasterCard: ___
Sierra Club credit card*
To apply for the card call 1-800-932-2775, or visit: http://www.webapply.com/sierraclub-b6c9

Credit Card Number: _____  _____  _____   _____

Expiration Date (mm/yy): ________

___ Please do not send me the free  expedition pack. I prefer that all of my contribution goes towards protecting America's environment.

FRIP F99QE45041

Mail this page to:

Sierra Club
P.O. Box 52968
Boulder, CO 80322-2968

Thank you!

Contributions, gifts and dues to the Sierra Club are not tax deductible; they support our effective,citizen-based advocacy and lobbying efforts. Your dues include $7.50 for your subscription to Sierra Magazine and $1 for your Chapter newsletter. (Additional financial and regulatory information.)

* Sierra Club MasterCard is issued by MBNA America Bank, N.A.

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