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Online Membership Form
Contact Information
Name
*
First Name
Last Name
Spouse / Partner Name
First Name
Last Name
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Home phone
*
Mobile Phone
Membership Preferences
Newsletter Preference
*
Please choose how you would like to receive Forever Wild, our quarterly newsletter for members.
select one
Hardcopy
Electronic (PDF)
Both
Would you like to get more involved?
I'm interested in volunteering in the Park
I'm interested in helping out on a Friends committee
Please send me outreach materials to share with others
I would like to ask my employer about a matching gift
Please contact me about how to include Friends in my estate plans
Membership Level
*
$10
-
Youth / Student
$25
-
Individual
$35
-
Family
$60
-
Sponsor
$100
-
Hamlin Peak
$250
-
Knife Edge
$500
-
Traveler
$1,000
-
Pamola Peak
$2,500
-
South Peak
$5,267
-
Baxter Peak
$10,000
-
Katahdin
$
Please select One Time to make a single gift, or Annually to renew your membership automatically on this date each year.
One Time
Yearly
Continue donating until
(mm/dd/yyyy)
Is this a gift membership?
*
select one
No
Yes
Gift recipient's name
First Name
Last Name
Gift recipient's address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Were you invited to join by someone?
*
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No
Yes
Name of person who invited you:
How did you learn about Friends of Baxter State Park?
Friend or family member
Facebook
Newspaper
MPBN Radio
State of Maine Visitor Center
Baxter State Park publication
Event
Other
Add 3% to my total amount to cover transaction fees