Friends of Norris Center Online Membership Form

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Is this a new membership or a renewal?

Is this a new membership or a renewal? New
Renewal

Membership Levels
Select membership type below:			Level
Ohlone Tiger Beetle			$20.00
Student / Limited Income, receives standard benefits
Trifolium Clover			$50.00
Individual, standard benefits
Parrot Mushroom			$80.00
Family/Household, standard benefits
Santa Cruz Black Salamander			$150.00
Standard benefits plus reciprocal membership in ROAM
Peregrine Falcon			$500.00
Above benefits plus choice of Norris Center tote bag or t-shirt and personalized natural history education opportunity
Spinner Dolphin			$1,000.00
Above benefits plus naming rights for Norris Center butterfly tray.

Memberships are tax deductible

(*indicates a required field)

First Name:

Last Name:

Email:

Phone Area Code:

Phone Number:

Address 1

Address 2:

City:

State:

Zip:

Country:

Join in 2023 and become a Founding Member of the Friends of the Norris Center!
All Friends of the Norris Center members receive the following standard benefits –
• Online announcements of upcoming events and activities
• Norris Center sticker or bookmark
• Access to member-only events
• Discount on Norris Center events (fee-based workshops, classes, etc.)
• Invitation to annual membership meeting/symposium
Note: You will receive a membership card in the mail.
If you are joining at the $500 or above level, let us know if you would like us to send you premiums (tote bag,
etc.): Yes
No
● Memberships are good through end of current calendar year, then renew on Jan. 1 thereafter

Additional Donation. To add strength to the long-term support of the Friends of the Norris Center, I would like
to make an additional gift.

ENTER ADDITIONAL GIFT AMOUNT:

If you would like to gift this membership to another person, click the arrow, on the right side below and enter
the information for the person who will receive the gift membership.

Gift Membership

Gift Member's First Name

Gift Member's Last Name

Gift Member's Address 1

Gift Member's Address 2

Gift Member's City

Gift Member's State

Gift Member's Zip

Gift Member's Country

Gift Member's Phone Area

Gift Member's Phone Number

Gift Member's Email Address

This is a Blueprint template.