Mr. Ms. Dr. Prof.

First Name: Last Name:

Street Address:

City: State:

Home Phone: Work Phone: Fax:

E-Mail Address:

New Member Renewal

Sign me up for a Cub membership, I am sending a check for $20

Sign me up for a Family membership, I am sending a check for $35

Sign me up as a Donor, I am sending a check for $50

Sign me up as a Paw Patron, I am sending a check for $100

Sign me up as a Generous Grizzly, I am sending a check for $250

I am enclosing a check for ______.

Please make your check out to "Friends of McNeil River" and mail with this form to FOMR, P.O. Box 231091, Anchorage, AK 99523-1091. FOMR does not take credit cards. All checks must be drawn on American banks. Travelers checks paid in U.S. dollars are appreciated as well. Thanks.

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