PRESERVATION OF CABALLO MOUNTAINS, INC., (PCM., Inc.)
MEMBERSHIP FORM (Our Membership Lists are CONFIDENTIAL.)
Please print clearly and provide full information:
Mr./Mrs.
Ms.______________________________ Tel:_______________ Fax:__________________

Street:___________________________ City:_____________________ State:__________

Occupation/
Interests:__________________________________________________________________

(__) YES, I want to help make the difference. Please sign me up under the following
annual (due each June) membership category:

-------------------------------- (__) $15. Individual Membership ---------------------------------

(__) $25. Family Membership -------------------------------- (__) $50 to $100. SILVER

(__) $101 to $500. GOLD --------------------------------------- (__) $501 to + PLATINUM

---------------------- (__) $100. ORGANIZATIONAL AFFILIATION -------------------------

Do you wish to receive Fax / telephone alerts or notice of pending legislation? (_)Yes (_) No

MAKE CHECK or MONEY ORDER payable to Preservation of Caballo Mountains, Inc. or
PCM,Inc. P.O. Box 843, Williamsburg, NM., 87942-0843. For information call 800-874-0001
You will be sent a membership package upon acceptance and the quarterly newsletter.
WE NEED YOUR HELP AND SUPPORT! - THANK YOU.

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