$40 - Individual Regular

$105 - 3 Year Membership

$150 - Family Membership (Four Persons)

Name __________________________________________________

Address ___________________________________________

City _______________________State ______ Zip _________

Email ______________________________________________

Payment (Circle One)

Check | Cash | Money Order | Visa | MasterCard

Card # _______________________________ Exp. _________

Signature ___________________________________________

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Please include me on the Ouray Ice Park volunteer list:
     _____ I would like to be a Ouray Ice Festival Volunteer
     _____ I can volunteer at other times during the ice climbing season (e.g., weekends at the Park visitor center)
     _____ I can volunteer my time in other areas - ______________________________________________

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For Office Use

Membership # ___________ Date ________

Fax Form to: 970.325.4288
Mail Form to: OIPI / POB 1058 / Ouray, Colorado 81427