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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
$
1000
-
Life Membership
Once or Automatic Renewal?
One Time
Annually
Continue renewing until
(mm/dd/yyyy)
Contact Information
Name
First Name
Last Name
Email
Phone
Address
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Second Family Member
First Name
Last Name
Third Family Member
First Name
Last Name
Fourth Family Member
First Name
Last Name
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