STAY INFORMED...BE INVOLVED

              JOIN OR DONATE TO EDH

                There are many ways to help:

• Join EDH
• Make a financial donation
• Donate books, files, letters, photos, films, to the research center
• Volunteer your time

             MEMBERSHIP/DONATION FORM

Associate Membership                 $25/year  _____ 

Family Membership                      $40/year  _____     

Life Membership                           $500        _____

Golden Life Membership               $1,000     _____

 For Ecobyte only                           $12/year  _____

Donation                            Specify amount    _____  

Address: __________________________________________

City: _____________________________________________

State: ___________  Zip: _____________________________

Phone: ___________________________________________

Email: ____________________________________________

Is this a gift membership?  YES     NO    (please circle)

Donor Name: ___________________________________________________

Address: ______________________________________________________

City: __________________________________________________________

State: __________________  Zip: __________________________________

Phone: ________________________________________________________

Email: _________________________________________________________

Payment: Check/Money order ___ Check/Money Order payable to
                                                                                                Earth Defense Headquarters

Visa or Mastercard:

Credit Card No. ____________________________________

Exp. Date ____________________  Security Code  _______

Name on card ______________________________________

Signature _________________________________________

Mail form and payment to:

Earth Defense Headquarters, PO Box 2358, San Anselmo, CA 94979

Or email information with credit card info to:
  ecochicks@edhca.org