To become a new member, renew a membership, or increase your membership level for 2009, please print this page, complete the form below and mail it with your check or credit card info for the appropriate amount to:

SQUAW VALLEY INSTITUTE
P.O. Box 3325
Olympic Valley, CA 96146

Yes! I wish to Support Squaw Valley Institute's Mission to bring World Class Presentations to this Region!

Enclosed is my tax-deductible donation for Membership at the following level:

[ ] Sustaining: $50 -$99

[ ] Bronze: $100-$249

[ ] Silver: $250-$499

[ ] Gold: $500-$999

[ ] Platinum: $1,000 and above

[ ] Event Sponsor: $500 (please contact us directly for details)

[ ] Business Sponsor: $2500 (please contact us directly for details)

[ ] Check Enclosed

Credit Card No. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Amount: $____________________

Exp. Date: __ __ / __ __

Name (as appears on credit card): _________________________________________

Address: ___________________________________

City: ___________________________________ State: _____ Zip: _______________

E-Mail: ___________________________________________

[ ] I give permission to be listed as a Member of Squaw Valley Institute (or)
[ ] I prefer to remain anonymous

THANK YOU FOR YOUR SUPPORT!!!