MEMBERSHIP ENROLLMENT FORM
Please check one:
o New Member o Continuing Member o Re-establish Membership
Sponsored  by:_________________________________________________________________

Name___________________________________ Occupation_____________________

Residence_______________________________ Phone_________E-mail___________

City___________________________________State_________Zip______________________

Others in family or organization to be listed under this membership
____________________________________________________________________________

Business___________________________________e-mail__________________________________

Address_______________________________________Phone_________________________

City___________________________________State_________Zip______________________

I/We would like to make a contribution in the amount of $________Today's date is _________

SUGGESTED CONTRIBUTION LEVELS
Copper............................... $25-$50 Platinum............................. $501-$1000
Bronze............................... $51-$100 Dr. Wilfred A. Rothschild..... $1001-$2000
Silver................................. $101-$200 Dr. Raymond Olson............. $2001-$5000
Gold.................................. $201-$500 Janss Family....................... $5000+

Student/Senior Discount on any level.............$15
All contributions are tax deductible. CLVFF IS A 501(c)(3) organization.

Make checks payable to CONEJO/LAS VIRGENES FUTURE FOUNDATION. - Thank you!

o Yes, I would be interested in volunteering some of my time to CLVFF.
I would like to recommend:___________________________________________for membership.

Street________________________________________________________________________

City_____________________________Zip______________Phone_______________________