Membership Application

First Name: Middle/Initial: Last Name: Home Address: City: State: Zip Code: - Country: Home Phone: Email: Web Site:

Memberships last for one year from the date you join/renew. We encourage you to sign up for automatic renewals

Membership:

Individual Membership - $55

Student Membership (free first year)

Organization Membership - $85

Lifetime Membership - $2,000

I would like to have my membership automatically renew each year. (all non-student individual memberships renew at $55/year)

Add a Donation with Your Membership Dues (Ember - $20; Flame - $45; Torch - $150; Bonfire - $300; Other - Whatever You Can Give):