Address:________________________________

 City:_____________________ State:_____________

Zip Code:________

 Phone:_________________
 
 

 Family $50.00____

 Student $25.00____ (a photocopy of your student ID is required)

 Lifetime $1000.00____

 Multiple Lifetime $5000.00____

 For group or coven memberships, please e-mail or write us for more information.

 Membership donations cover the member(s) from January 1st-December 31st (renewals are due by December 31st).

 Membership donations for applications after July 1st are reduced by half. Return the application by mail to: