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Join/Renew
Membership Category
*
$25
-
Individual Membership
$40
-
Family Membership
$16
-
Student/Senior Membership
$100
-
Best Friend Membership
$500
-
Sponsor Membership
$1,000
-
Life Membership
Once or Automatic Renewal?
One Time
Yearly
Continue renewing until
(mm/dd/yyyy)
Contact Information
Name
First Name
Last Name
Email
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Second Family Member
First Name
Last Name
Second Family Member Email
Second Family Member Relationship
Third Family Member
First Name
Last Name
Third Family Member Email
Third Family Member Relationship
Fourth Family Member
First Name
Last Name
Fourth Family Member Email
Fourth Family Member Relationship
Organization/Employer
Interests
Volunteer for a project
Serve on the board or on a committee
Serve as a refuge liaison or community representative
Assist in education/outreach events
Write content for brochures, flyers, displays
Write letters to decision makers
Assist with website/social media
Stay updated on issues related to Alaska Refuges