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YES! I'm ready to help PACD forge a strong future for conservation. Please sign me up!

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Name

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Organization/Affiliation

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Complete Mailing Address

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City

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State

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County

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Daytime Phone

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Fax

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E-Mail

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Occupation

Membership Category:

___$25 (Individual/Family)

___$40 (Non-profit or Educational Institution)

___$50 (Business)

Conservator Level Membership:

PACD Conservators receive a free listing in the annual meeting program as a PACD Conservator. Minimum donations to be a Conservator are shown below:

___$75 (Individual/Family)

___$90 (Nonprofit or Educational Institution)

___$100 (Business)

Make checks payable to "PACD" and mail to:

PACD, 25 North Front Street, Harrisburg, PA 17101

Questions? Please call (717) 238-PACD (7223) or e-mail pacd@pacd.org