This form is for New Memberships and Membership Renewal.

Becoming a member of NWDC has some amazing benefits!

Individual members at all levels receive a year’s subscription to our Nature Journal. You are also entitled to enjoy our guided hikes at reduced charge, and will receive a 10% discount on all items in our Nature Shop, on Facility and Lodge Room rentals, and on other program costs.

Sustaining Membership allows you to choose your own membership amount, to be paid monthly (minimum $15). Our Sustaining Members receive the same benefits as regular Individual members, with the additional satisfaction of knowing that your monthly contributions are supporting NWDC all year round.

If you are renewing your membership, simply choose “I’m renewing a past membership” and we’ll update your existing member file with your renewal date.

* Please allow up to ONE MONTH for your membership package to arrive in the mail.

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Contact Information

Is this a new membership, or a renewal?*

I’m becoming a member for the first time.

I’m renewing a past membership.

I’m purchasing a membership as a gift.

Name*

First Last

Email*

Enter Email Confirm Email

NOTE: Please take extra care to type your email address correctly so we can reach you when necessary.

Email Newsletter

Receive Periodic NWDC Email Newsletter

Check above to subscribe to our periodic email newsletter or uncheck to opt-out.
When subscribed you can unsubscribe (opt-out) at any time.

Phone*

Mailing Address*

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Please write any notes or comments here:

Payment Information

Choose Your Membership Level*

$25: Senior over 60

$25: Handicapped (w/ valid ID)

$25: Military (w/ valid ID)

$25: Student (w/ valid ID)

$45: Individual

$65: Family

Sustaining Membership: Contribute a monthly amount of your choice

$15: Replacement/Additional Decal (Must be purchased with new/current membership. Limit 1 additional decal per membership.)

Quantity (Number of Memberships)*

Please enter a number greater than or equal to 1.

Sustaining Membership Monthly Contribution*

Enter the amount you would like to be charged each month (minimum $15.00). You will be automatically charged this amount each month, on the same day of the month that you originally signed up.

Choose Your Additional Membership Level (if purchasing more than one membership type)*

No Additional

$25: Senior over 60

$25: Handicapped (w/ valid ID)

$25: Military (w/ valid ID)

$25: Student (w/ valid ID)

$45: Individual

$65: Family

$15: Replacement/Additional Decal (Must be purchased with new/current membership. Limit 1 additional decal per membership.)

Select this option if you are purchasing more than one membership type. Otherwise, select No Additional.

Additional Quantity (Number of Additional Memberships)*

Please enter a number greater than or equal to 0.

License Plate Number(s)*

Vehicle 1

Vehicle 2

Vehicle 3

 

Add Remove

Please list the number(s) of the license plate(s) on each vehicle you have purchased a parking decal for. You will receive one (1) parking decal with every Individual, Senior, Handicapped, Military, and Student Membership. You will receive two (2) parking decals with every Family Membership.

Would you like to add a one-time donation?*

Yes

No

Please select “Yes” or “No”.

One-Time Donation (optional)*

Enter any amount you prefer.
If you wish not to donate at this time, please select “No” above in response to “Would you like to add a one-time donation?”

Thank you immensely for your donation!

Where do you want your donation to be directed?

Donations may be designated to any program according to the donor’s wishes. If not designated, all gifts go to support general operating expenses, including programs (approximately 83%) as well as administrative (approximately 16%). We are pleased to honor donors’ wishes.

General OperatingEarthkeeper Nature SchoolRaptor CenterEarth Studies ProgramRiver Campus Playground FundEndowmentCamp Scholarship FundYouth Scholarship FundParks StewardshipEvent Sponsorship

Which NWDC event are you sponsoring?*

Please enter the name and date of the event you are sponsoring. Thank you so much for your support!

Amount you will be charged today:

Your Payment Method*

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MasterCard

Visa

Supported Credit Cards: Discover, MasterCard, Visa

Card Number

Expiration Date

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Billing Address*

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Phone

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