Membership Application

To Join the PCTA, please mail or fax this form with your payment
(either credit card information or check) to:

Pacific Crest Trail Association
1331 Garden Highway
Sacramento, CA 95833

Fax: (916) 285-1865

Gift Information
Gift Type:
(Select One)		 New Membership
Trail Guide $35
Trail Advocate $50
Trail Partner $100
Trail Builder $500
Trail Guardian $1000
Trail Explorer*
*Introductory membership only		 $25

(Click here for explanation of levels)

Your membership dues are tax-deductible.

I do not wish to receive a Backpacker Magazine subscription. **
I do not wish to receive PCTA's Communicator Magazine.

Membership Renewal
Crest Circle Monthly Giving Amount Per Month:
Donation Amount:
Tribute Amount:


In Memory/Honor of
Memorial
Gift Membership
Additional Donation (optional)
Fund:
(Select One)		 Highest Priority Need
Trail Maintenance
Trail Protection
Jane and Flicka Endowment
Member and Memorial/Tribute Notification Information
First Name:
Last Name:
Email:
Address:
 
City:
State:
Zip:
Country:
Note: For any international membership a $25 fee will be added to cover Shipping & Handling.
Phone:
Purchaser Information
   Same as above
First Name:
Last Name:
Email:
Address:
 
City:
State:
Zip:
Country:
Phone:
Credit Card Type:
Credit Card Number: - - -
Expiration: /

Thank you for your support! Pacific Crest Trail Association is a 501(c)(3) non-profit organization. Your membership dues are tax-deductible to the fullest extent allowed by law minus $5 for Backpacker magazine subscription. A subscription to Backpacker Magazine, valued at $5 is included and is non-deductible from the membership dues. If you are already a subscriber, your subscription will be extended by 1 year.