American Cetacean Society Monterey Bay Chapter
Membership Application Form for ACS Chapter #24
Please print this application and mail with your check
or credit card info to the address below.
New Membership/Subscription ___ Renewal Membership/Subscription___
Gift Membership/Subscription___
Membership levels and Annual dues:
 |
Lifetime $1000___ |
|
Family $55___ |
|
Patron $500___ |
|
Active $45___ |
|
Contributing $250___ |
|
Student $35___ |
|
Supporting $85___ |
|
Teacher $35___ |
|
International $55___ |
|
Senior $35___ |
| |
Subscription only $15/11 issues ___ (not entitled
to membership benefits) |
Name _____________________________________________________________
Address___________________________________
City, State, Zip_____________________________________________________
Email___________________
Check___ Mastercard___ Visa___
Credit Card Number _____________________ Expiration date_________________
Signature____________________________________
Make checks payable to: ACS/Monterey Bay Chapter
Return to: Membership Secretary, ACS Monterey Bay Chapter, P.O. Box
HE, Pacific Grove, CA 93950
Return to ACS Monterey Bay home page ||
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Last updated September 26, 2011 |