The Past Is Our Heritage

The Present Is Our Responsibility

The Future Is Our Challenge

Text Box: PUBLIC LANDS FOR THE PEOPLE, INC.

MEMBERSHIP APPLICATION FORM
3700 Santa Carlotta St
La Crescenta, CA. 91214-1048
818-845-6377
www.plp2.org
       
SINGLE 35.00        FAMILY $50.00        CLUBS 100.00       BUSINESSES $100.00


I AM A NEW OR RENEWING MEMBER FROM THE NORTHERN CALIFORNIA OFFICE………yes……..no

Please accept my enrollment as a member of Public Lands for the People.  Enclosed is my annual dues donation of __________
I’ve enclosed an additional donation of_________ to help keep our Public Lands open. I will receive a membership card and the Sentry Post Newsletter along with being able to access our assistance network.

  NAME (Please Print)________________________________________________________

  ADDRESS________________________________________________________________

  CITY/STATE/ZIP__________________________________________________________                                                                                                
 
                              PHONE-Home (____)____________Work (____)___________FAX(___ )___________E Mail                       


Please circle your interest for use of our Public Lands:

Camping   Fishing   Hunting   Rock hound   Hiking   Equestrian   Prospecting   Metal  Detecting   Mining
ORV   Biking   Climbing   Cabin Ownership   Other__________

Would you be willing to:

Help in clean up Projects….Write letter to Officials & Govt. Agencies….Assist in Membership Drives and    Fund-raisers….Serve on a Committee….Serve on the Board of Directors….Attend USFS, BLM and DFG Meetings & Hearings….make Phone Calls….Type….Participate in research Activities….Are you a member of other Clubs or Organizations?
Please list______________________________________________________________________

Signature __________________________________Date_____________

Please tell us how you can help us keep your Public Lands Open ________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

OFFICAL USE ONLY

AMOUNT PAID                        CASH                  CHECK ____________________                    

CARD NUMBER                                                   EXPIRATION DATE  _________

DATE RECEIVED                                                 DATE COMPLETED  _________
Text Box: Copy and  paste the above application to your word processing program

Dedicated To Preserving The Rights Of The Public To Access And Use Of Public Lands

Text Box: Join PLP