The Ozark Society

P.O. Box 2914
Little Rock, Arkansas 72203


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MEMBERSHIP APPLICATION

Dues are for the calendar year and include a subscription to the Society's newsletter, Pack and Paddle, and conservation bulletins.

Membership: Family $15/year
                    Contributing $25 

                 Life $200 under 65 years, or $100 for those over 65

Date____________

Please Check: New member__________ Renewal_________

Name____________________________Spouse________________________ Children______

Address_________________________ City__________________ State_____ Zip_________

E-mail________________________________

Telephone (evening)_________________________ (daytime)__________________________

Primary outdoor interest: Canoeing______ Backpacking______ Day hikes________

Other_______________________________________________________________________

Other conservation groups to which you belong______________________________________

How did you hear about the Ozark Society?_________________________________________

Chapter membership adds to the fun of Ozark Society membership, but is not required. However, chapters do require membership in the Society.
Their dues structure is as follows: Mississippi Valley Chapter of Cape Girardeau, Missouri: $10; Bayou Chapter of Shreveport, Louisiana: $10;
Highlands Chapter of Northwest Arkansas: $10; Sugar Creek Chapter of Northwest Arkansas: $5; Buffalo River Chapter of North-Central Arkansas: $10; and Pulaski Chapter of Central Arkansas: $10. Mail one check for both Society and chapter dues (Please specify which chapter you are joining.)

Please return the form with remittance to:

Ozark Society, Inc.
PO Box 2914
Little Rock, AR 72203