Mail-In
Membership Form

If you'd rather mail in your membership form, just print a copy of this form and send it to the address below.

The Sierra Club
P.O. Box 52968
Boulder, CO 80322-2968

Please fill out the information below:

First Name:
Last Name:
Address:
City:
State:
Zip:	-
Phone:
Fax:
Email:

May we correspond with you via e-mail? Yes No

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.

Please select a membership level:

Individual Membership	Joint Membership
Introductory $25
Regular $35	Regular $43
Supporting $60	Supporting $68
Contributing $120	Contributing $128
Life $1000	Life $1250
Student* $19	Student $27
Senior $19	Senior $27
Limited Income $19	Limited Income $27

*^For student memberships, please select one of the following:**
Are you a: College Student High School Student
What year do you expect to graduate:

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 P.O. Box 52968, Boulder, CO 80322-2968.

MasterCard	Visa
Credit Card Number:
Expiration Date(mm/yy):

F99QE25001

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)

If you have problems or comments concerning our WWW service, please e-mail to: webmaster@sierraclub.org

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Explore, Enjoy and Protect - Santa Lucia Chapter hike in Machesna Wilderness

Machesna Wilderness hike
April 2002
Photo by Gary Felsman

Come to Sierra Summit 2005, Sep. 8-11 in San Francisco

Mail-In Membership Form

Mail-In
Membership Form