*Name of Individual or Business:

If a business, please indicate type:
Accommodations Association Attractions Business DMO Festival/Event Government Organization Tour operator

Contact person (if Business Membership):

*Address 1:

Address 2:

*City:

*State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Zip Code:

*Area Code + Telephone: Extension:

Fax (if any):

*Email Address:

Web Site URL - For Business, Supporting, and Sponsor Memberships Only:

*Region in which your business operates, or in which you live:
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Phoenix/Central Northern North Central Tucson/Southern Western Statewide

Select a second region if applicable:
Phoenix/Central Northern North Central Tucson/Southern Western

Choose one or more nature-related activities offered by you or your business to the public (if applicable).

For Business, Supporting and Sponsor Membership applicants only: add a 50-word DESCRIPTION (approx.) of the services you or your business provides to the public, or your affiliation with nature-based tourism. Keep your description as concise as possible; Be sure to list any recreational opportunities you offer not listed in the section above, seasonal hours or ongoing discounts that might apply.

Fields marked with an asterisk (*) are required.