Application for Membership
Name:	________________________________________________________
Street/RR:	________________________________________________________
City:	________________________________________________________
State:	____	Zip Code:	____________________
Telephone No.:	________________________________________________________
EMail Address:	________________________________________________________

Membership Donations Enclosed:
Individual - $5.00	Sponsor - $100.00
Family - $10.00	Patron - $250.00
Senior/Student - $3.00	Club/Corporate-$500.00
Sustaining - $50.00	Other - $

Legal defense fund donation - $

(donations other than membership fees are TAX-DEDUCTIBLE)

Please make checks payable to:

Would you be interested in sharing your time and talents with us?

Yes, please contact me.
Not at this time

Thank you for your support!