Membership Form * Required Field Name:* First Last Address:* Street AddressCityState / Province / RegionPostal / Zip CodePhone:* Area Code - Phone Number E-mail:Is this a GIFT:*YESNOSpecial Instructions:Select One:*New MemberRenewalMembership:*FamilyIndividualSenior Individual (age 62)Senior Couple (household)PatronSupportingEnterpreneurCorporateLifetimeTotal:Please send Beaver Tales Newsletter:*E-mailMailName(s) to appear on membership card:1st Card:*2nd Card:If a GIFT, please enter where to send if different from member address Street AddressCityState / Province / RegionPostal / Zip CodeYou can choose a way to pay: Pay with PayPal or Pay with an online bank account, debit or credit card.**Membership will be processed and mailed within 10-14 days.****Your gate card will be mailed to you.**Enter code:SubmitReset