Memberships run annually from June 1st. If you are a new member
         joining for the first time, your membership will extend until June 1st
         of the NEXT calendar year and then due annually. 


         Last Name:  _____________________________________________________________
         
         First Name: _____________________________________________________________
         
         Joint Subscriber Name(s): _______________________________________________
         [We'd like to count all members of a family, not just the name(s) on your check.]
         
         Mailing Address: (please update when renewing)
         
         Street: _________________________________________________________________
         
         City:   _________________________________________________________________
         
         State:  ______________________________           Zip Code: ______________
         
         Phone Number:         
			
         Home:   ____________________________________________________
         
         Work:   ____________________________________________________
         
         Mobile: ____________________________________________________
         
         Email Address:  _________________________________________________________
         (Required to receive the electronic newsletter)
         
         Joint Email Address: ____________________________________________________
         (Required for joint member to receive a copy of electronic newsletter)
         
         Sierra Club Member Number: _______________________________
         (Providing your Sierra Club number helps the GLS Activity Section's funding.)
         
         $5     Annual subscription for people with fixed income.
         $15    Paperless "Electronic" newsletter - we'll email you the Web address where
                you can read it in PDF format.
         $20    Basic membership with paper newsletter.
         $25    Joint membership - Please check: __ one paper newsletter         or
                                                 __ two electronic newsletters
         $30    Supporter membership.
         $75    Benefactor membership.
         $300   Lifetime membership/newsletter.
         
         $____________ = Total Amount enclosed.  Make payable to: "GLS/Loma Prieta"
         
         Supporter, Benefactor, Lifetime, and Fixed Income subscribers - 
         Do you wish to receive the electronic newsletter and help us conserve paper ? ________
         (please remember to enter your email address above, if so)