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Your Name
*
$
Dr.
Dr. and Mrs.
Miss
Mr.
Mrs.
Mr. and Mrs.
Ms.
Dr. and Dr.
Dr. and Mr.
Title
First Name
Last Name
$
One Time
Recurring
Your Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
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*Required in order to receive your tax acknowledgement letter
Your Email
*
$
$
One Time
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Your Phone
*
$
$
One Time
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Gift Membership Level
*
$
$50
$100
$300
$500
$750
Other
$
One Time
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Gift Recipient Name
*
$
$
One Time
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New Member Packet?
*
YES - Send a new member packet
NO - Just send a notification letter
$
$
One Time
Recurring
Packets include a brochure about California Condors, a copy of our most recent annual report, and a membership card printed on eco-friendly seed paper with your unique member ID number and a code for 10% off in our merchandise store.
Gift Recipient Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
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Gift Recipient Email
*
$
$
One Time
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Gift Note
*
$
$
One Time
Recurring
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