Membership Information

Name:________________________________________________________________

 

Business Name:________________________________________________________

(if applicable)

 

Address:______________________________________________________________

_____________________________________________________________________

Phone Number:________________________________________________________

 

Email:_______________________________________________________________

 

Donation Amount:______________________________________________________

 

 

MEMBERSHIP LEVELS

 

   Amount                 Level Benefits

      $20                    Standard Membership

  $21 - $99               Cottonwood - name/business name in newsletter, KFA logo pen and pin

$100 - $499             Pecan - Cottonwood level, plus tote bag

$500 - $999             Oak - Pecan level, plus Kansas Forest Service tree bundle coupon

   $1,000 +               Walnut - Oak level, plus Lifetime Membership

 

To join, renew your membership, or donate, please print this form and send with payment to:

Mail to:           Kansas Forestry Association

                       2610 Claflin Road

                       Manhattan, KS  66502-2798

Please make checks payable to: Kansas Forestry Association [EIN # 45-4419920]

 

Paid    $______________

 

Check #______________

 

Logos for inclusion in the newsletter will be accepted via email: shane@ksu.edu

    ____Please check if you prefer not to have your name in the newsletter

    ____Please check if you prefer not to receive incentives (e.g. pen, pin, bag, etc.)

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