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Security Code   (Type the characters in the image above)
Username   (minimum of 6 characters)
Password   (minimum of 3 characters)
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E-mail Address
Re-enter E-mail Address
Type Question
Type Answer
First Name
Middle Name
Last Name
Alias/Nickname (If this field is blank, we will use your full name.)
Gender Male   Female
Birth Date / /
Sierra Club
Member Number
Street Address
Phone Number (ex. 5556667777)
Fax Number (ex. 5556667777)
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E-mail address
Street Address
Phone Number
Past Event Participation
Upcoming Event Participation
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