Please fill out the following form to purchase or renew a membership in Big Bend Conservancy

Membership

Please indicate the level of membership you wish to purchase. *

Road Runner ($ 50) Give at this level and receive the "Big Bend Conservancy" newsletter and invitations to general membership events.

Javelina ($ 100) Give at this level and receive an optional joint membership in the Big Bend Natural History Association*, also receive "Big Bend Conservancy" newsletter, invitations to general member events

Peregrine Falcon ($ 250) All Javelina level benefits plus a BBC t-shirt OR hat

Black Bear ($500) All Peregrine Falcon level benefits plus Annual Superintendent's Report and invitations to private events with Park staff in your metro area

Mountain Lion ($ 1,000 and above) All Black Bear level benefits plus an opportunity to have a private tour with Park staff when you travel to the Park

If you selected the Javelina through Mountain Lion level of membership you are entitled to a joint membership with the Big Bend Natural History Association.

You may optionally decline the joint membership and instead direct all your dues to support Big Bend Conservancy and its efforts to help the park.

Please direct all my dues to BBC. I understand I will not receive a joint membership with Big Bend Natural History Association nor will I receive the Paisano newsletter

Enroll me in a joint membership with the Big Bend Natural History Association. I understand a portion of my donation will be transferred to BBNHA

I prefer to not receive any premiums for giving; please use the cost savings to benefit the Park in some other way. I understand that by waiving the premium I will receive the full tax deduction for my donation.

Yes

Please contact me with information about making a bequest in my will, establishing a charitable remainder trust, or other deferred giving plan

Yes

If you have made a donation at the Peregrine Falcon ($250) level or above and wish to receive a Conservancy T-shirt, please indicate the size below. Please note that sizes and styles are subject to availability. The majority of T-shirts are pre-shrunk cotton. For those receiving a hat, they are adjustable.

Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone (we will only call you in case there is a problem with your credit card) *

Email (Purchase confirmation will be sent to this address) *

Type of Card *

Credit Card Number *

Expiration Date (MM/YY) *

CCV (on back of card) *