Name: _________________________________________________________________
___ I consider myself a Member of Solid Rock
___ Please send me information about becoming a Member of Solid Rock

Address: __________________________________________________________________

City: ________________________________ State: ________ Zip: _______________

Phone(s): _______________________________________________________________

Email: ___________________________________________________________________

Your Climbing Style(s) & Experience: Lead 5. ___ Follow 5. ___
____Trad ____Sport ____Big Wall ____Ice ____Alpine ____Bouldering
______Beginner/Novice ______Competent & Recreational ______Competent & Serious

------------------------------------------------------------------------------------------------------------------------

____ Annual Donor (suggested $30-100) for 200__ in the amount of$ ______
>>>DONOR THANK-YOU:You will be sent a Cypher wire-gate biner as a thank-you unless you write “no thanks” in the blank: __________

____ Annual Supporter (suggested $100 or more) for 200__ in the amount of$ ______
>>>DONOR THANK-YOU: You will be sent a Cypher quickdraw OR logo T-shirt (write size in blank)
If you would like to pass on any thank-you, write “no thanks”: ___________

____ General Fund......in the amount of $ ______

____ Staff (please name): ______________________in the amount of $ ______

____ Other (please note): ______________________in the amount of $ ______

------------------------------------------------------------------------------------------------------------------------
R E S O U R C E S
>>>>All paper resources ordered below (not Chalk Bags, T-shirts, Runners and Hats) are free to annual donors!<<<<

____ Member Handbook COST: $2.00 (includes shipping) = ______________
____ Outreach Cards COST: $5.00 (includes shipping) = ______________
____ NEW SRCFC T-shirt(s) COST: $20.00 (includes shipping) = _____________
>>>>>>>>>Please Check Size: ___XL ___L ___M ___S
____ Mongolian COST: $20.00 (includes shipping) = _____________
>>>>>>>>>Please Indicate Color: __________
____ Climbers Tracts COST: $5.00 (includes shipping) = ______________
>>>>>>>>>>>>TOTAL AMOUNT DUE = _______________
____ Logo Decal FREE upon request
____ 5 SRCFC Brochures for giving to Christian climbing friends (free)

------------------------------------------------------------------------------------------------------------------------
E V E N T

Event Name: _________________________________________

Amount: _____________________________