Return to the CSPA website CSPA Membership Form Mail to: California Sportfishing Protection Alliance Yes, I want to join _____ renew _____ my annual CSPA membership. Individual: Please allow 10 days for shipping of membership premiums ___$30 ___$50 (Hat) ___$75 (Shirt, Circle - s, m, l, xl ,2xl) ___ $100 (Hat, shirt, Circle - s, m, l, xl ,2xl) ___ $150 (Jacket, Circle - s, m, l, xl ,2xl) ___ $250 (Hat, shirt, jacket, Circle - s, m, l, xl ,2xl) ___ $500 or more (multiples of the above premiums, Size for shirt/jacket, Circle - s, m, l, xl ,2xl) Businesses/NGOs/Clubs/Affiliates: Please allow 10 days for shipping of membership premiums ___ $100 (Hat, shirt, Circle - s, m, l, xl ,2xl) ___ $150 (Jacket, Circle - s, m, l, xl ,2xl) ___ $250 (Hat, shirt, jacket, Circle - s, m, l, xl ,2xl) ___ $500 or more (multiples of the above premiums, size?) Benefactors: Please allow 10 days for shipping of membership premiums ___ $1,000 ___ $5,000 ___ $10,000 or more (Please contact the webmaster for premiums needed, size?) Name:_________________________________________________________________ Organization or business:_______________________________________________ Address:_______________________________________________________________ City: ____________________________ State: _______ Zip: ____________________ Phone:_______________ Fax: ________________ E-mail:________________________________ Yes I would like my name/business/organization listed on the donors page! _____ Yes, I would like a FREE link to my personal/business/organization website! _____ URL of website:___________________________________________________________________ No, I wish to remain anonymous and do not wish a listing. ____ TOTAL $_____________________ Payment made by: ____ Cash ____ Check (# ________) _____Credit Card: Credit Card Information:
I agree to the above purchase using the supplied credit/debit card. I understand the charge will be made via PayPal: Signature: ________________________________________________________________________ The California Sportfishing Protection Alliance is non-profit, tax deductible, | ||||||||