Each member receives a membership card, decal, certificate, newsletter and future benefits. In addition, members joining at the $100 level or above will receive a customized plaque.
Membership Type:(see below)________________________________
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