Sierra Club Motherlode Chapter: Serving 24 Counties in Northern and Central California

Membership Survey

(* denotes required info)

Name*		SC Member?*
Phone		Email*
Address
What brought you to the Sierra Club?

Comments / Suggestions:

Conservation Interest(s)
Check as many as interest you, including those you want to learn more about.

	Land Use Planning		Air Quality
	Water and/or Sewer Planning		Affordable Housing
	Transportation Planning		Alternate Modes of Transportation (bikeways, pedestrian, public transit)
	Forestry		Wilderness
	Open Space		Endangered Species Protection

Participation
Check activities you are interested in doing or learning more about.

Outings:
	Hiking	Canoeing
	Birding / Nature Study	Family Outings
Activity Sections:
	Singles Section	Seniors Section
	Photography Section	Gay / Lesbian Sierrans

	Service Projects	Event or Program Planning
	Meeting Food / Refreshment Committee	Staffing a table or booth at special events
	Phone banking	Writing letters to the editor
	Contacting elected representatives	Providing Public testimony
	Website Team	Membership Committee
	Attending Chapter Conservation or Executive Committee Meetings

Skills you could contribute to the Sierra Club

Media / Public Relations

Research

Lobbying

Electoral Politics

Legal

Commenting on EIR's

Expertise in a Particular Issue

Help in the Chapter Office

Bonanza Newsletter (proofreading, Pagemaker, graphics, advertising manager)

Other: