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

First Name:________________	Middle:___________________	Last:_____________________

Address:________________________________________________________________________

City:_____________________	State:____________________	Zip:_____________________

Phone: ___________________	Fax:______________________

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Please select a membership level:

Individual Membership	Joint Membership
___ Introductory $25
___ Regular $39	___ Regular $49
___ Supporting $75	___ Supporting $100
___ Contributing $150	___ Contributing $175
___ Life $1000	___ Life $1250
___ Student $25	___ Student $35
___ Senior $25	___ Senior $35
___ Limited Income $25	___ Limited Income $35

Please select a payment method.

___AMEX	Credit Card Number: _____ _____ _____ _____
___MasterCard	Expiration Date (mm/yy): ________________________
___Visa	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.
___ Sierra Club MasterCard
___Check Enclosed*	FRIP: F94QB 2606 1

___ Please do not send me the free convertible weekender bag, I prefer that all of my contribution goes towards protecting America's environment.

Mail this page 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.

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