MEMBERSHIP FORM

Center for Inquiry 
P.O. Box 741 
Amherst, NY 14226 

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Yes! I want to be a Friend of the Center for Inquiry. 

CHOOSE A MEMBERSHIP CATEGORY:

[ ]  Individual Member at $60 per year

[ ]  Family Membership at $80 per year

[ ]  Contributing Member at $125 per year

[ ]  Supporter at $250 per year

[ ]  Patron at $500 per year

[ ]  Benefactor at $1000 per year


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   Name: [____________________]

Address: [____________________]

   City: [____________________]

  State: [____________________]

    Zip: [____________________]

  Phone: [____________________]

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 Charge my: [ ] MasterCard,  [ ] Visa

 Account #: [______________________________]

Expiration: [______________________________]

 Signature: [______________________________]

 - OR -


[ ]  Check or Money Order enclosed

Make checks payable to Center for Inquiry and mail to:

Center for Inquiry 
P.O. Box 741 
Amherst, NY 14226 

You can also become a member by calling (716) 636-4869  
or Toll Free at (800) 818-7071

Membership Forms can be faxed to (716) 636-1733  

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Web Site: http://www.centerforinquiry.net
E-mail: bkarr@centerforinquiry.net