NOTE: this application is provided for your use only if you are going to be printing this form via your browser, filling it out by hand and mailing it with a check. If you would instead like to avoid that hassle, please go to our Store page where you can sign-up and pay securely by credit card.
__New Member __Renewal __Gift Membership from_______________________________________
Name__________________________________________________________________________
Address___________________________________________City__________________________
State_____________Zip________Phone_____________________E-mail____________________
Would you like to receive the Sego Lily electronically? ___Yes____No
(by receiving the Sego Lily thru electronic access, more of your membership dues will
be used to support our native plant programs)
| __ Student |
$9.00
|
| __ Senior |
$12.00
|
| __ Individual |
$15.00
|
| __ Household |
$25.00
|
| __ Sustaining |
$40.00
|
| __ Lifetime (Join or renew as a UNPS for Life member and receive our two popular native plant posters for free!) |
$250.00
|
| __ Supporting organization |
$55.00
|
| __ Corporate |
$250 and up
|
| __ Cache |
| __ Cedar City (Iron) |
| __ Escalante (Garfied) |
| __ Fremont (Sevier) |
| __ Manzanita (Kane) |
| __ Mountain (Wasatch and Summit Cos.) |
| __ Salt Lake |
| __ Southwestern (Washington) |
| __ Utah Valley |
I would also like to donate $_______ to support the mission of UNPS (UNPS is a 501(c))(3) organization and donations are tax deductible).
Please print (click here to optionally put this form into a full screen before printing and then go back in your browser when done or simply choose "only the selected frame" in your printer dialog box) and fill out this form and mail it with your enclosed check for the appropriate membership category to:
UNPS Membership, P.O. Box 520041, Salt Lake City UT 84152-0041