SUSPS Sign-up

Refer a Friend / Address Change

P.O. Box 5654
Berkeley, CA 94705

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Use this form to sign up with SUSPS, change your address,
tell us more about yourself, or refer a friend.
 
Please complete the following information,
then press the send button below.

* These fields are required.
 



*Name:

*Email:

*Address:

*City:

*State:

*Zip:

Home Phone:

Work Phone:

Fax Number:

 

If this is an address change, please enter your previous address:

 

 

If you are a Sierra Club member, you may join our caucus of concerned Sierra Club activists. If you are not a Sierra Club member, we encourage you to join the Club so that you can make your interests known. If you are not a Sierra Club member we will be happy to send you information and periodic updates so that you can remain informed on issues within the Sierra Club.


Sierra Club member?: Yes No         Membership number:

Club Chapter:

Club Group:

 

Active in Club?: Yes No

Club offices and activities:

 

What other organizations are you a member of?:

Where did you hear about SUSPS?:

Additional comments:


 
The following person referred me to SUSPS. This is their name, city and state:

I am referring the above individual. This is my name, city and state:


 
Updates: We send out approximately 6 mailings per year (including petitions) and 10 email alerts per year on important issues. If for some reason, you do not wish to receive these, please check the appropriate box below:

Mailings:

Yes No

Email alerts:

Yes No


 
Participation: I would like to help in the following areas:

Contact others:

Yes Possibly No

Write letters:

Yes Possibly No

Give presentations:

Yes Possibly No

Collect petiton signatures:

Yes Possibly No

Work within the Club:

Yes Possibly No

Local coordinator:

Yes Possibly No

 


Other activities I can help with:

 


 
Donations accepted: Membership dues are not required to sign up with SUSPS. However, contributions are accepted and will indeed help us with our volunteer effort. Contributions can be sent to:
 
SUSPS
P.O. Box 5654
Berkeley, CA 94705

 

I am sending a donation for the amount of:  

 

Privacy policy: We treat your personal information with the utmost confidentiality. Occasionally, we may provide names and addresses (but not email addresses or phone numbers) to other organizations with the same objectives as SUSPS. However, we never have, and never will, release your personal information to any organization for marketing, promotional, or email spamming purposes. If you do not wish your name and address released to organizations similar to SUSPS, please change the selection below:

 

Release only to supporting organizations: Yes No


 


 

 

thank you


 

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