First Name: Last Name:
Street Address:
City: State: Zip Code:
Home Phone: Work Phone: Fax:
E-Mail Address:
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 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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