Membership Application

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Membership Level:

Junior Fossil Finder Pack ($15)

Individual PLUS Membership ($50)

Family Membership ($90)

Friends and Family ($135)

Heritage Lifetime Membership ($1,500)

Legacy Lifetime Membership ($10,000)

Library Pass ($1,000)

Educator Membership

Title: First Name: Last Name: Suffix: Email: Phone: Phone Type: Address Type: Address: City: State: Zip: -

If you would like to manage your NeonCRM account (i.e., view donation history, renew membership, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.

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