Application Form

Mail completed application to:

The Windstar Foundation
P.O. Box 656
Snowmass, CO 81654

Please allow 6 weeks to process memberships
Member Information
Last Name*______________________________________________________
First Name*______________________________________________________
Street address*___________________________________________________
Address (cont.)___________________________________________________
City*____________________________________________________________
State/Province*___________________________________________________
Zip/Postal code*__________________________________________________
Country*_________________________________________________________
Home Phone_____________________________________________________
Work Phone_____________________________________________________
E-mail__________________________________________________________
Membership Levels
_____$ 10 Youth (14 Years and Younger)______$ 500 Patron
_____$ 25 Seniors and Students_____$ 1,000 Sponsor
_____ $ 35 Individual _____$ 2,500 Sustainer
_____$ 75 Household_____$ 5,000 Benefactor
_____$ 100 Guardian_____$ 10,000 Corporate
_____$ 250 Supporter  
Additional Donation to the Windstar Foundation
$__________
Additional Donation to the Windstar Land Conservancy
$__________
TOTAL AMOUNT ENCLOSED
$ __________

Payment Options

CREDIT CARD
MasterCard _____ Visa _____
Cardholder name ___________________________________
Card number _____________________________________
Expiration date ____________________________________
Amount ________________________________________
Signature________________________________________
 
CHECK
Check Number

_____________
Amount

______________
Thank you for your support of the Windstar Foundation!