NAME:___________________________________________________________________________________


ADDRESS:___________________________________________________________________________________________
                    ___________________________________________________________________________________________
                    ___________________________________________________________________________________________

PHONE NUMBER: (___ )___  - ____    

EMAIL:__________________________________________________________________________________


Membership Type:

  __Individual  ($10)    __Family  ($20)
  __Junior* (18 and under) -  ($10)
  __Additional donation (Thank You!) $______

*Junior member must join with parent or legal guardian

Please mail your completed application to: