Name First and last name Address Including city & zip code. Phone Phone number with area code (e.g. 608-123-4456) Email Renewal New member Membership renewal Thank you for your interest in becoming a member. Please check one below: Support level Individual $10 Family/Household $15.00 Sponsor $25.00 Patron $50.00 Benefactor $100.00 Lifetime $500.00 Membership year is January 1 through December 31. Your donation is tax deductible. Message Include a message with your donation (optional) Submit Leave this field blank
