Print application, then mail to address below.

The Ozark Society
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

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?_________________________________________

CHAPTERS

Bayou -  Shreveport, LA, $10;      Buffalo River -  north central AR, $10;       Highlands -  north west AR, $10
Indian Nations -  OK, $5;       Mississippi Valley -  Cape Girardeau, MO, $5;      Pulaski -  central AR, $10
Schoolcraft -  Springfield, MO, $5

Please return the form with remittance to:

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