Join Us
Yes! I want to join the Sierra Student Coalition.
Please print out this form, fill it out, and send it to the address below.
Student
Individual $15 Joint $23
Regular Membership
Individual $35 Joint $43
Your Name:_________________________
Mailing Address: __________________________________
City:_________________ State:_____ Zip Code:________
Your Phone Number:(____)_____________
E-Mail Address:_____________________
School Name:___________________________
Year you graduated, or expect to graduate, from High School: 19___ / 20___
Parents'/Home phone number, so we can reach you when school's out of session: (____)_____________
Would you like to recieve Sierra Magazine?
Yes No
Please enclose payment to THE SIERRA CLUB, or list your Master-card or Visa number below. Sorry, we cannot bill you.
Cardholder Name:_______________________________
Card Number: _ _ _ _ - _ _ _ - _ _ _ - _ _ _
Expiration Date: _ _/_ _
To join by Mastercard of Visa, you may also call 1-888-JOIN-SSC
Send to:
Sierra Club
P.O. Box 52968
Boulder, CO 80321-2968
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Sierra Club
P.O. Box 52968
Boulder, CO 80321-2968
