Name *

First Name

Last Name

Phone

(###)

###

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Please select your level of Friends membership from the options below.

Friend Single $175 - one person

Friend Couple $275 - two persons at the same address

Supporter Single $250 - one person

Supporter Couple $350 - two persons at the same address

Explorer Single $500 - one person

Explorer Couple $600 - two persons at the same address

Patron Single $1000 - one person

Patron Couple $1100 - two persons at the same address

Click here if you wish to remain anonymous