Yes, I would like to become a member!

Becoming A Member Is Easy! Just print out this page or download the form as a pdf, and send it to the address listed below. Thank you - we will be in touch with you soon!

Check one:
 


$30 Regular

$50 Contributer

$100 Wilderness Advocate

$250 Wilderness Sponsor

$500 Lifetime

$15 Living Lightly


Name:____________________________________________________________________

Address: __________________________________________________________________

City: ________________________________________ State ______________ Zip _______________

Phone: ( ______ ) _______________ Fax ( _____ ) __________________

Sign me up for the Wilderness Guardian monthly listerve. Your email address will remain private.

Email: ______________________________________________________
 


Payment Options:

My check or money order is enclosed.

Please charge my: (check one)

Visa Mastercard Discover Card

Card # ____________________________________________________________

Exp. Date ____ ____ / ____ ____

Please return this form with your payment made payable to:

Wilderness Watch
P.O. Box 9175
Missoula, MT 59807

Thank You!