Mail-in Membership Form
for Sierra Club Membership F94QE04741

 

 

Name: _______________________________________________________________________________

Address:  _____________________________________________________________________________

City: _________________________________  State: ___________________  Zip Code:_______________

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:
  Please select a payment method:
 Individual Membership  Joint Membership  Check: ___ 
       Payable to "Sierra Club"
 ___ Introductory $25    AMEX: ___ 
 ___ Regular $39  ___ Regular $47  Mastercard: ___
 ___ Supporting $75  ___ Supporting $100  Visa: ___
 ___ Contributing $150  ___ Contributing $175  
 ___ Life $1000  ___ Life $1250  Card No:
 _____ _____ _____ _____
 ___ Student $24  ___ Student $32  
 ___ Senior $24  ___ Senior $32  Exp Date (mm/yy): ________
 ___ Limited Income $24  ___ Limited Income $32  

When you join the Sierra Club you will have the satisfaction of knowing that you are helping to preserve irreplaceable wildlands, save endangered and threatened wildlife, and protect this fragile environment we call home. You can be sure that your voice will be heard through congressional lobbying and grassroots action on the environmental issues that matter to you most. Thank you for your contribution.

Mail 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.)