Membership form

Please use this form for membership. Either fill out the form, print it it and send it in with payment to P.O. Box 403 Junction City, KS 66441 (on-line payment option will be available soon).
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Name(s) Please submit the way you want the name(s) to show on our roster
Address
e-mail address
 
prefered telephone number
 
Membership category
Benefactor $500 +
Sponsor $200 - $499
Contributor $100 - $199
$50 - $99
Member $25 - $49
Amount of your membership contribution