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$1000 Leadership Level *
x $1,000.00
Please enter "1" in the above box
Leadership Welcome Packet? *
* As a new member, you’ll receive a membership card with your 10% merchandise discount code, our Annual Report, a condor brochure, and a 4x6 condor photo.
Bronze Plaque? *
Name *
First Name
Last Name
Partner or Spouse Name
Address *
Address Line 1
Address Line 2
City
State
Zip
Email *
Phone
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