Membership Renewal

Thank you for taking the time to mail in

this form and for you generous support!

Your Information (if none of your personal information has changed since you joined the CLI,

you only need to fill out your name in this portion of the form)

Full Name(s) (First, Last) ____________________________________________________________

Address __________________________________________________________________________

Address 2 ________________________________________________________________________

City _______________________________   State/Province  _______________________________

State __________________________  Zip Code ___________________________

Phone __________________________  Fax _______________________________

Email ___________________________  Email 2 ____________________________

I have included a check or money order for the amount of __________________.

Please make checks or money orders payable to: Crater Lake Institute

Please mail this form to: Crater Lake Institute P.O. Box 2 Crater Lake, Oregon 97602   Thank you!