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Is this a Group or Individual Membership?
Group
Individual
Your Name:
Your Group's Name:
Address:
City:
County of Residence:
State:
Zip Code:
Telephone:
E-Mail Address:
Fax Number:
My/Our Contribution:
$15 low income membership
$35 standard individual membership
$50 supporting individual membership; standard group membership
$100 major donor
$1,000 life time membership
Other:
* Donations of $50 or more are eligible to receive a special gift. More Details.
Which of the following are your primary
areas of interest? (Check all that apply.)
National
Forest Management
Chipmills
Timber Sales
Local Environmental
Issues
National
Environmental Issues
Other (Please
elaborate below and comment.)
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