Membership Type:(see below)________________________________

Youth/Senior: Applicant is either fourteen or younger; or sixty-five or older on the date of application.

Professional: Applicant working in an occupation directly involving wildlife, or related to wildlife, who wishes to be distinguished as a Professional member.

Life member: Applicant may make a one time or four semi-annual donation payments.

Benefactor: Benefactor members are titled "Friends of the Foundation" and receive special recognition for their contributions.

Associate: Applicant is a non-commercial entity sharing the concerns of NAPF. Annual dues may be paid semi-annually.

Commercial: Applicant is a commercial entity which shares the concerns of NAPF. Annual dues may be paid semi-annually.
Please indicate application type:   ___New   ___Address Change   ___Renewal of Member #:______
Contribution:

         ______$10 Youth/Senior     ______$100 Sponsoring
         ______$20 Supporting       ______$200 Sustaining
         ______$30 Family                      ______$1000 Life
         ______$50 Professional             ______$2000 Benefactor


Associate Member:     $150 Supporting, $300 Sponsoring, $______Other
Commercial Member: $150 Supporting, $500 Sponsoring, $______Other

Personal Information:
         Date:__________________________________________________
         Name:___________________________________ Age:__________
         DBA: _________________________________________________
         Address:_______________________________________________
         City: ____________________State:_________ Zip:_____________
         Country: _______________________________________________
         Phone:_________________________________________________

Mail to:
         NORTH AMERICAN PRONGHORN FOUNDATION
         P.O. Box 1383
         Rawlins, WY 82301


North American Pronghorn Foundation