MCKC MEMBERSHIP APPLICATION

Your help protecting Missouris' karst features by becoming a member
of the Missouri Cave and Karst Conservancy is very much appreciated.
Dues for regular membership are $20.00 per year (US). You can also help
by making additional monetary donations and/or volunteering your time and labor.

Print and fill out this form and mail along with your check or money order to:
Bryan McAllister, MCKC Membership Secretary, PO Box 190456, St. Louis, MO 63119.

(Please Type or Print)

DATE:___________________

NAME:_______________________________________________________

STREET ADDRESS:_____________________________________________

(Number and street address preferred)

CITY:__________________STATE:__________ ZIP CODE______-_____

(9 digits if you know it)

PHONE:(home)__________________(work)________________________

(Be sure to include Area Code)

E-mail Address:_____________________________________________

Grotto Affiliations:________________________________________

Are you a member of the NSS?__________ the MSS?_____________

Member No.

Please make checks payable to the Missouri Caves and Karst Conservancy.

Regular Classes of Membership:

____Regular Membership - $20/one year - 4 issues - United States.

____International Membership - $30 (US) /one year - 4 issues - outside US.

____Family Memberships - Regular or International membership plus $5
        for each extra family member.

____Business expense; Invoice in Triplicate

Other Classes of Membership:

___Donor $50/year ___Sustaining $200/2 years

___Contributing $100/year ___Benefactor $500/5 years

___Institutional $100/year ___Patron $1,000/10 years

Member classes Donor through Patron indicate T-Shirt Size:

M L XL XXL

Upon receipt of your application, the Missouri Caves and Karst Conservancy
will forward your registered membership number and card. Membership includes
a subscription to the Conservancy's quarterly magazine, the MCKC Digest.
All classes of memebership Donor through Patron, receive a special mailing.

___Subscription to the MCKC Digest ONLY $15...one year, 4 issues (US).

___Subscription to the MCKC Digest ONLY $25...one year, 4 issues (International).

This page revised January 16, 2008.


back to the MCKC Membership page