CALIFORNIA
NATIVE PLANT SOCIETY
Channel Islands Chapter
Channel Islands Chapter
CNPS Membership Application
| Category | Annual Amount |
|
Individual ................................................................. Family, International, or Library................................ Plant Lover .............................................................. Patron ...................................................................... Benefactor ............................................................... Mariposa Lily ........................................................... Student/Limited Income ............................................ Blue Oak - Small businesses & organizations, 1-3 employees Gray Pine - Medium businesses & organizations, 4-6 employees White Fir - Large businesses & organizations, 7-10 employees Coast Redwood - Businesses & agencies, more than 10 employees |
$ 45 ___ $ 75 ___ $ 100 ___ $ 300 ___ $ 600 ___ $ 1,500 ___ $ 25 ___ $ 150 ___ $ 500 ___ $1,000 ___ $2,500 ___ |
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I wish to affiliate with the Channel Islands Chapter
of the California Native Plant Society.
|
Name(s) ____________________________________________________ |
| Address ____________________________________________________ |
| City _____________________________________________________ |
| State ______________________________ Zip ____________-______ |
| Telephone Number _______________________________ |
| e-mail address ________________________________________ |
|
Payment Method: ___ Check (Make check payable to California Native Plant Society) ___ Credit Card (see below) VISA/MasterCard #: _____________________________________________ Cardholder Name (name on card): ____________________________________ Expiration Date: ________________________ 3-Digit Security Code: ______ Signature: _____________________________________________________ |
Send Membership application and check to:
California Native Plant Society
Attn: Membership
2707 K Street, Suite 1
Sacramento, CA 95816-5113
