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