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WILDERNESS TREKKERS (WT) MEMBERSHIP APPLICATION
To apply for
membership complete this form and mail along with your check payable
to
Wilderness Trekkers, PO Box 772971 Ocala, FL 34477
All
memberships run from April 1 to March 31. After October 1
membership fees are pro-rated (see below).
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___ Individual $15 full
year or $7.50 after October 1 |
___ Supporting $100 full
year or $50 after October 1 |
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___ Family $20 full year
or $10 after October 1 |
___ Commercial/Agency
$40 full year or $20 after October 1 |
|
___ Sustaining $50 full
year or $25 after October 1 |
___ Student (ID
required) $10 full year or $5 after October 1 |
Add $3 to your membership dues
to have a printed Event Schedule mailed to your home. Upcoming
events, news & information is available FREE on the WT website. The
extra $3 covers printing and postage.
I have enclosed
my check #_______ , dated _____________ in the amount of $_________
WILDERNESS TREKKERS
MEMBERSHIP CODE. I understand and
agree that, when in the wilderness, I will abide by the principles
of the Leave No Trace Ethic, preserving our natural areas for others
to enjoy. I will abide by the rules set forth by the land managers
and property owners whose land I use and will only use private
property with the owner’s consent. I understand that use of the
wilderness is a privilege and that I do so at my own risk. Neither
Wilderness Trekkers nor land owners are in any way liable for any
injury or accident I may sustain while participating in Wilderness
Trekkers events. My signature below
indicates agreement with the Wilderness Trekkers Membership Code.
Member Information:
(please provide for each family member)
Name: ___________________________________
Name:____________________________________
Signature:________________________________
Signature: _________________________________
Address: _________________________________
Occupation: ________________________________
City/State:______________________ Zip: ______
Name: _____________________________________
Home Phone: ______________________________
Signature: _________________________________
Email: ___________________________________
Name: ____________________________________
Employer/Occ:_____________________________
Signature: _________________________________
Work Phone: ______________________________
Please indicate
whether or not you want your contact information included in the
Wilderness Trekker Membership Roster. (Yes/No) Name & Address,
(Yes/No) Home phone, (Yes/No) Work phone, (Yes/No) E-Mail
I learned about Wilderness
Trekkers from:
_______________________________________________________
I am willing to
volunteer my time to Wilderness Trekkers:
Accept a Wilderness Trekker Board position_____
Host A Trip: ___Day hikes
___Backpacking ___Paddling ___Biking
(Road) ___Biking (Off road) |
