Join Friends/Renew Membership by Mail

When you submit this information to Friends, it will be recorded as a pledge pending your payment by mail or fax.  If you prefer, simply print this page and mail it to Friends along with your check or credit card information.

Please provide the following member information: (Fields in RED are required)

Name  
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code  
Country
E-mail  

Choose one of the following membership categories



Individual                     $30
 Family                          $50
 Sustaining                   $100
Patron                        $500
 Gold                        $1000
 Platinum                   $5000


For business membership, how many employees

Up to 5 employees             $50
 6 to 30 employees            $100
 31 to 100 employees        $250
 101 to 200 employees      $500
201 to 250 employees   $1,000
 Over 250 employees     $5,000

Check this box if this is a renewal

Check this box for electronic delivery of Newsletter  Yes, save postage!

If this is a gift membership, complete the following:

Donor's Name  
Donor's Street Address
Address (cont.)
Donor's City
Donor's State/Province
Donor's Zip/Postal Code  
Donor's Country
Donor's E-mail  

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