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Boyce Thompson Arboretum Downloadable Membership Form MEMBERSHIP CATEGORIES [ ] Yes, I would like information on volunteering at BTA! [ ] Dual $60 _________________ [ ] Family $85 _________________ [ ] Contributor $125 _________________ [ ] Boojum Club $250 _________________ [ ] Picketpost Society $500 _________________ [ ] Director’s Circle $1,000 _________________ [ ] Yes, please send information about financial bequests DATE: ____________________________________ planned giving MEMBER TITLE [ ] Mr. & Mrs. [ ] Mr. [ ] Ms. [ ] Mrs. [ ] Miss [ ] other Member Name__________________________________________________________________ 2 nd Member Name (if applicable)__________________________________________________ Address____________________________________________________ Apt. or Ste#_________ City_______________________________________ State__________ Zip__________________ Telephone (____)_________________Cell or other# (____)_________________ EMail Address(es)_________________________________________________________ 2 nd EMail Address_________________________________________________________ * please include your email(s), our mailing list is kept private and is our most effective, direct and low-cost way to communicate with our members about events and Arboretum news IF THE NAME ABOVE IS A GIFT RECIPIENT, PLEASE INCLUDE : Your Name ____________________________________________________________________ Your Address___________________________________________________________________ Telephone (___)____________________ E-Mail Address________________________________ This Gift is from_________________________________ PAYMENT [ ] Check or [ ] VISA [ ] MASTERCARD CREDIT CARD #__________________________________________EXP. Date___________ SIGNATURE (Required to process application)_____________________________________ Please return this application to: Boyce Thompson Arboretum Membership Services 37615 E US Highway 60 Superior, AZ 85173 If you have any questions please email [email protected] or call 520.609.7873

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Page 1: Downloadable Membership Form - arboretum.ag.arizona.eduarboretum.ag.arizona.edu/membershipform.pdf · Boyce Thompson Arboretum Downloadable Membership Form . MEMBERSHIP CATEGORIES

Boyce Thompson Arboretum Downloadable Membership Form

MEMBERSHIP CATEGORIES

[ ] Yes, I would like

information

on volunteering

at BTA!

[ ] Dual $60 _________________

[ ] Family $85 _________________

[ ] Contributor $125 _________________

[ ] Boojum Club $250 _________________

[ ] Picketpost Society $500 _________________

[ ] Director’s Circle $1,000 _________________

[ ] Yes, please send

information about

financial bequests

DATE: ____________________________________ planned giving

MEMBER TITLE [ ] Mr. & Mrs. [ ] Mr. [ ] Ms. [ ] Mrs. [ ] Miss [ ] other

Member Name__________________________________________________________________

2 nd Member Name (if applicable)__________________________________________________

Address____________________________________________________ Apt. or Ste#_________

City_______________________________________ State__________ Zip__________________

Telephone (____)_________________Cell or other# (____)_________________

EMail Address(es)_________________________________________________________

2nd

EMail Address_________________________________________________________

* please include your email(s), our mailing list is kept private and is our most effective, direct

and low-cost way to communicate with our members about events and Arboretum news

IF THE NAME ABOVE IS A GIFT RECIPIENT, PLEASE INCLUDE :

Your Name ____________________________________________________________________

Your Address___________________________________________________________________

Telephone (___)____________________ E-Mail Address________________________________

This Gift is from_________________________________

PAYMENT

[ ] Check or [ ] VISA [ ] MASTERCARD

CREDIT CARD #__________________________________________EXP. Date___________

SIGNATURE ( Required to process application)_____________________________________

Please return this application to:

Boyce Thompson Arboretum

Membership Services

37615 E US Highway 60

Superior, AZ 85173

If you have any questions please email [email protected] or call 520.609.7873