Gift Memberships "*" indicates required fields 1Purchaser Information2Recipient Information3Membership Information4Membership Level5Additional Members6Checkout Gift Purchaser Information Enter information for the person purchasing the gift membership. An email confirmation will be sent to this person's email address.Purchaser Name* First Last Purchaser Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Purchaser Email Address* Purchaser Phone Gift Recipient Information Enter information for the person to whom you wish to receive this gift membership.Recipient Name* First Last Recipient Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Recipient Email* Recipient PhoneHow would you like this gift membership delivered?*We can either mail the membership card directly to the person receiving the membership, or we can mail it to you if you prefer to deliver the gift yourself. Mail directly to the recipient Mail to me so I can deliver it Membership Levels and Related Benefits Senior and student discounts are available. Basic Annual Membership Hike, run, cross-country ski or snowshoe. Adult Senior (62+) / Student Additional Adult(Age 16+) $70 $60 $35 PLUS+ Annual Membership Basic membership plus climbing, biking and horseback riding privileges. Adult Senior (62+) / Student Additional Adult(Age 16+) $115 $105 $80 Premium Annual Membership Supporting Member $400 Four PLUS+ Memberships within the same household and four complimentary one-time day use passes. Sustaining Member $600 Four PLUS+ Memberships within the same household and ten complimentary one-time day use passes. Preserver Membership Program The Preserver Membership Program represents our highest level of membership and provides critical operating funds. In addition to PLUS+ Membership benefits, Preservers enjoy special benefits, programs, and events that will further your understanding and enjoyment of the Shawangunks. Click here for more information. Have you been a member before?* Yes No Has the gift recipient been a member before?* Yes No I don't know Is the Primary Member a Senior (62+) or a Student? Senior (62+) Student N/A Select Recipient #1 Membership LevelIf there are additional members please add them in the Additional Member section on the next page. $70 - Basic $115 - PLUS+ $400 - Supporting $600 - Sustaining $1,000 - Sentinel Preserver Level $2,500 - Bonticou Circle Preserver Level $5,000 - Trapps Circle Preserver Level $10,000 - Millbrook Circle Preserver Level Select Recipient #1 Membership Level (Student/Senior Pricing) $60 - Basic Senior (62+) / Student $105 - PLUS+ Senior (62+) / Student What will this person's primary activity at the Preserve be? Hiking Climbing Biking Cross Country Skiing Snowshoe Horseback Riding Running Additional Members Select up to four additional members, select their level and enter their names *Children 15 and under are free with an accompanying adult member If you've selected a Supporting, Sustaining, or Preserver level annual membership you automatically receive up to four PLUS+ memberships, please list their names below. Members must live in the same household. How many additional members?*None12345Select Additional Membership Level (#1)* $35 – Adult (Age 16+) $80 – PLUS+ Adult Additional Member #1 Name*FULL NAME to print on membership card First Last Select Additional Membership Level (#2)* $35 – Adult(Age 16+) $80 – PLUS+ Adult Additional Member #2 Name*FULL NAME to print on membership card First Last Select Additional Membership Level (#3)* $35 – Adult(Age 16+) $80 – PLUS+ Adult Additional Member #3 Name*FULL NAME to print on membership card First Last Select Additional Membership Level (#4)* $35 – Adult(Age 16+) $80 – PLUS+ Adult Additional Member #4 Name*FULL NAME to print on membership card First Last Select Additional Membership Level (#5)* $35 – Adult $80 – PLUS+ Adult Additional Member #5 Name*FULL NAME to print on membership card First Last Additional Donation I would like to help support the Preserve even further! Please accept this additional donation for the amount of:I would like to help support the Preserve even further! Please accept this additional donation for the amount of: $5 $10 $20 $50 My Gift Amount My Gift Amount Total Credit Card* Cardholder Name Card Details CommentsThis field is for validation purposes and should be left unchanged. Banner Photo by June Archer
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