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NPSNM Membership Form

Please print, fill out form and then mail to NPSNM at the address below!

* Optional information

Name:
Address1:
Address2:
City:
State:
Zip Code:
*Telephone(work):
*Telephone(home):
*E-mail address:
Local Chapter:
New Membership Renewal
I (we) wish to affiliate with the chapter indicated below, and receive information about their activities:
NPSNM Annual Membership Dues Individual and Family - $20 Friend of the Society - $30 Supporting Member - $50 Sponsor - $100 Patron - $250 Benefactor - $500 Life Member - $1,000 Limited Income Family, Senior (64 & over) and Students - $12

I (we) would be willing to serve on statewide committees concerning:	To better serve our membership, please check areas of particular interest:
Conservation	Conservation
Education	Field Trips
Workshops	Site Re-vegetation/Restoration
Publications	Ethnobotany
Fund Raising/Finance	Photography
Propagation/Plant Rescue	Landscaping
Marketing/Publicity	Seed Exchange
Other (Please specify)	Classes and Workshops
	Lectures and Programs
	Other (Please specify)

Check enclosed in the amount of:

Send Membership Dues to:

Membership Secretary NPSNM
PO Box 2364
Las Cruces, NM 88004

Last updated: 23 August 2008; Design: J. Mygatt; Photographs in header ©2004 Robert Sivinski
Copyright © 1999-2008 Native Plant Society of New Mexico, PO Box 2364, Las Cruces, NM 88004