
Have you paid your 2010 Dues?
Have you considered a Life Membership?
Membership in KPHS is open to all who are interested in the Koshkonong Prairie area.
| MEMBERSHIP | MAIL TO: | ||
| Individual | $15 | Larry Gunnelson, KPHS Treasurer | |
| Family | $25 | W9352 Hwy C | |
| Contributing | $35 | Cambridge, WI 53523 | |
| Life | $150 | ||
| Pioneer | $250 | ||
| Print this page out and fill in the information below and include with your check. | |
| Name: | ______________________________________ |
| Address: | ______________________________________ |
| City | ______________________________________ |
| State Zip | ______________________________________ |
| Spouse: | ______________________________________ |
| Phone | ______________________________________ |
| Email * | ______________________________________ |
| Click here to Request Information on KPHS be sent to you. |
Latest Revision February 14, 2010 |