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Mail-in Membership Form
for Sierra Club Membership

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

 Receive this Expedition Pack free when you join! Click for more details.
First Name: __________________________________________

 
Last Name: __________________________________________

 
Address: __________________________________________

 
  __________________________________________

 
City: __________________________________________

 
State: ___________________

 

 Zip Code: _______________
Phone: ___________________

 

 Fax: _______________
Email: __________________________________________

F94QB 4012

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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:

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.

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.

AMEX: ___

Mastercard: ___

Visa: ___

Sierra Club MasterCard: ___
Sierra Club credit card*
To apply for the card call 1-800-932-2775.

Credit Card Number: _____  _____  _____   _____

Expiration Date (mm/yy): ________

J03WOT0007

___ Please do not send me the free  expedition pack. 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.