|
PRINT MEMBERSHIP APPLICATION AND FAX OR MAIL
For description and benefits of each Membership program, 
 Annual Adult $35 Annual Junior (under 21) $20 Club $25
Five Year $140 Senior Life $750 Life $1000
Donation: Amount $_____________
Check/Money Order Credit Card: Master Card VISA AmEx
Credit Card # _______________________________ Expiration Date: ___________
Signature: ___________________________________________ Male Female
Name: ______________________________________________________________________
Address: ____________________________________________________________________
City: ______________________________________ State ______________ Zip _________
Phone: (_______)_________________________ Birth Date: _______________________
Required for Junior and Senior Memberships
Email: ___________________________________ if you would like to receive our newsletter
I am renewing my membership: #_______________________
Mail application and payment to : Or, if using credit card, fax to:
|
