Sierra Club Membership Form
My Name_____________________________Address_____________________________
City/State__________________________ Zip____________
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: 
Check enclosed.
Please charge my: Mastercard Visa
Cardholder name______________________________________
Card Number__________________________________________Exp. Date _____ / ______
| MEMBERSHIP CATEGORIES | INDIVIDUAL | JOINT |
| INTRODUCTORY | $25 |
|
| REGULAR | $39 |
$49 |
| SUPPORTING | $75 |
$100 |
| CONTRIBUTING | $150 |
$175 |
| LIFE | $1000 |
$1250 |
| SENIOR | $25 |
$35 |
| STUDENT | $25 |
$35 |
| LIMITED INCOME | $25 |
$35 |
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 a subscription to Sierra magazine and $1.00 for your Chapter newsletter.
FRIP: 2603Enclose check and mail to:
Sierra Club
P.O. Box
52968
Boulder, CO, 80322-2968