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Mail-in Membership Form for Sierra Club Membership

Join the Sierra Club today and receive a free Expedition Backpack! Print this page, then fill out the information below.




First Name ___________________________________ Please select a membership level:
    Individual     Joint
Last Name ___________________________________ __Introductory $25 --------------------
__Regular $39 __Regular $47
Address ___________________________________ __Supporting $75 __Supporting $100
__Contributing $150 __Contributing $175
___________________________________ __Life $1000 __Life $1250
__Student $24 __Student $32
City ___________________________________ __Senior $24 __Senior $32
__Limited Income$24 _Limited Income$32
State _______________ Zip Code _________ __Please do not send me the free  expedition pack. I prefer that all of my contribution goes towards protecting America's environment.
Phone _______________

 
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 Sierra Club Member Services, 85 Second Street, 2nd Floor, San Francisco, CA 94105-3441.
Fax _______________    
__AMEX __MC
E-mail ___________________________________ __Visa __Sierrra Club MC

May we correspond with you via e-mail?   Y__  N__

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: ___		 Sierra Club credit card*
To apply for the Sierra Club MasterCard call 1-800-932-2775.
Credit Card Number ____ ____  ____ ____
Expiration Date (mm/yy): ________
F94QE04001

Mail this completed form to:
Sierra Club Member Services
85 Second Street, 2nd Floor
San Francisco, CA 94105-3441

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.