Ventana Wildlife Society Membership Application Form
To join VWS by mail, please print this form, fill it out and mail it to our address listed below.
Name _____________________________________________________________
Address____________________________________________________________
City_________________________________ State_________ Zip_____________
Country_________________________
Phone_____________________________ E-mail __________________________
All levels of support are greatly appreciated. Please select a category below:
Associate $50-$99, Senior / Student $35-$49*
Friend $100-$499*
Sponsor $500-$999*
Steward $1000-$4999*
Leadership Circle $5000 and above*
Method of payment:
Check/money order, payable to Ventana Wildlife Society
Credit card: Visa Mastercard Discover
Credit card #______________________________ Expiration date____________
Signature ________________________________
You may use my name in public acknowledgements, such as the donor list published in Ventana's newsletter
Please refrain from using my name in any public acknowledgements, including newsletters, donor plaques and awards.
*Wildlife Bronze Plaque:
Are you eligible for a complimentary plaque?
$250-$499 - small
$500-$999 - medium
$1,000 - large
Do not want, thanks
Comments: __________________________________________________________
Please ensure checks are payable to Ventana Wildlife Society, and mail to the address below:
Ventana Wildlife Society
ATTN: Membership
19045 Portola Dr. Ste. F-1
Salinas, CA 93908
A 501(c)3 non-profit organization |