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FOC Membership Form
Your Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Organization/Employer
(if applicable)
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
FOC Membership Levels
*
$20
-
Student or Senior
$30
-
Individual or Family
$50
-
Five Forks Friends
$100
-
Confluence Crew
$250
-
Narrows Navigator (Cheat Fest VIP)
$500
-
Canyon Contributor (Cheat Fest VIP)
$1,000
-
Stream Steward (Cheat Fest VIP)
$2,500
-
Cheat River Sponsor (Cheat Fest VIP)
$5,000
-
Cheat Watershed Sponsor (Cheat Fest VIP)
$
Donation Schedule
One Time
Monthly
Yearly
Is this a gift membership? (optional)
Yes
Dropdown
Membership Donations of $250+ receive a perk! Please choose one:
select one
FOC Map T-shirt
FOC Hat
No gift necessary
FOC Map T-shirt Size
Small
Medium
Large
X-Large
XX-Large
Name of Gift Membership Recipient
Prefix
First Name
Last Name
Suffix
Gift Membership Recipient Email
Verify Email
Gift Membership Recipient Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Add a note to the Gift Membership Recipient
Add 3% to my total amount to help cover the payment processing fees
