Mail-In Application

Application Form

Mail completed application to:

The Windstar Foundation
PO Box 656
Snowmass, CO 81656

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) _____ $ 10 Students (up to 23 years) _____ $ 25 Seniors _____ $ 35 Individual _____ $ 75 Household _____ $ 100 Guardian	_____ $ 250 Supporter _____ $ 500 Patron _____ $ 1000 Sponsor _____ $ 2500 Sustainer _____ $ 5000 Benefactor _____ $ 20,000 Corporate


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________________________________________

Thank you for your support of the Windstar Foundation!