Send To Printer Return to Previous Page		Please mail this completed form to:	Natural Areas Association
			P.O. Box 1504
			Bend, OR 97709

	Prefix: First name: Last name: Suffix:
	Company: Department: Address 1: Address 2:
	City: State/Province (U.S. & Canada only): Zip Code (U.S. only): Postal Code (non- U.S. only): Country (non-U.S. only):
	Work Phone:    Ext: Home Phone:    Ext:
	Other Phone 1: Ext: Other Phone 2: Ext:
	Fax: Email:

New Member     Current Member NAA ID:

Annual membership dues are as follows:
	Individual		$ 60.00
	Student		$ 35.00
	Retired		$ 35.00
	Library (subscription only; not a membership)		$175.00
	Agency/Institution/Organization/Business		$240.00
	Family		$ 90.00
	Individual Life Membership		$1000.00
Additional Postage:
	United States		none
	Canada & Mexico		Add $20.00
	Other International		Add $30.00