I would like to support the efforts of the Ventana Wilderness Alliance and contribute to the protection of the wildlands of the northern Santa Lucia mountains.

             Your Name:_______________________________________________

       Mailing Address:_______________________________________________

                  City:_______________________________________________

                 State:_________________  Zip Code:___________________

             Telephone:(_____)________________________________________

        E-mail Address:_______________________________________________

Please Select a Membership Category (annual dues):

           [ ]  Ventana Advocate:               $25
           [ ]  Ventana Steward:                $50
           [ ]  Ventana Guardian:              $100
           [ ]  Ventana Protector:             $250
           [ ]  Ventana Benefactor:            $500
           [ ]  Santa Lucia Supporter:       $1,000
           [ ]  Santa Lucia Conservator:     $2,500
           [ ]  Santa Lucia Champion:        $5,000
           [ ]  Business:                      $100
           [ ]  Student/Introductory:           $15
           [ ]  Special Donation:              $__________

For $50 level and above (choose one): 

           [ ] VWA Logo T-Shirt Men's Long Sleeve (circle size)  S  M  L  XL
           [ ] VWA Logo T-Shirt Men's Short Sleeve (circle size)  S  M  L  XL
           [ ] VWA Logo T-Shirt Women's Short Sleeve (circle size)  S  M  L  XL


Please contact me about opportunites to be involved in:

[ ] Wilderness Activism              [ ] Public Lands Grazing Reform
[ ] Trail Maintenance                [ ] Grant Writing
[ ] Education and Public Outreach    [ ] Fund Raising
[ ] Botanical Surveying              [ ] Event Tabling
[ ] Archeological Stewardship

Other Areas of Interest:_______________________________________________________

Special Expertise:_____________________________________________________________

I would like to Volunteer to:__________________________________________________

Please mail your completed membership form along with your tax-deductable check made payable to "Ventana Wilderness Alliance" to:

Ventana Wilderness Alliance
Post Office Box 506
Santa Cruz, CA 95061

Rest assured that we will not give, sell, or otherwise share your personal information with any other groups or individuals. Also, The VWA is a California nonprofit corporation with IRS 501(c)(3) tax-exempt status. All contributions, including membership dues, are deductible from the contributor's taxable income.

Thank you for your support, and we look forward to your company!