Yes,
I Want To Become A Member Of The Bosque Lluvioso Foundation
MEMBERSHIP REGISTRATION
$10.00 or more will enable you to help buy or restore rainforest lands in Costa Rica and enhance educational facilities at The Bosque. A full year membership includes discounts on The Bosque Lluvioso Rainforest Tours, newsletter and other member benefits.
For membership registration print, fax or mail this completed form to:
The Bosque Lluvioso Foundation
P.O. Box 520022
Salt Lake City, Utah 84152-0022 U.S.A.
Phone (801) 463-4675 Fax (801) 277-0665
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please
check the appropriate box
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$10
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Introductory Individual Membership
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$35
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Family Membership (No. in family_____)
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$50+
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Business/Club/Organization
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$100
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Sustaining Membership
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$250
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Friend of The Bosque Membership
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$500+
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Executive Membership
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Please accept my annual tax-deductible* Membership Fee of:
| $ | Membership |
| $ | Additional Gift |
| $ | TOTAL |
Payment: Check or Money Order Enclosed___ Visa___ Master Card___
Account #_________________________Expiration Date_______
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Last Name
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First Name
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Initial
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Business/Club/Organization Name__________________________________________
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Street Address
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City/State
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Zip
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e-mail address
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Occupation
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