Membership Application

Name * : Alias:

Street * :  City * : State * : Zip * :

Phone * :  Cell Phone:

Email:  

Please select the membership desired:

Life Membership ($500 - ask us about payment plans)

Individual Membership ($35.00 a year + $13.00 for outside USA)

Family Membership ($35.00 a year + $10.00 for each additional family member listed + $13.00 for outside USA,or Life Membership plus $10.00 a year for each additional family member listed + $13.00 for outside USA.)

Please List Additional Family Members:

Senior Citizen (65)/Full-Time Student/Fixed Income ($30.00 a year + $13 for outside USA)