Membership Application Form
www.rkci.org

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Date

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Name - Please print clearly

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Street

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City, State & ZIP

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Email Address

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Telephone

Membership Categories and Dues: (circle membership type)
Memberships For Individuals - Voting  

Individual Member

 $15/year
Sustaining Member
After five consecutive years a sustaining member becomes a Life Member.		 $75/year
Life Member $300/one time
Memberships for Organizations or Individuals - Non Voting  
Supporting Member - Non profit caving (grotto) or conservation organizations. $25/year
Supporting Member - All other organizations $50/year
Benefactor Member $1,000/one time
Additional Donation - RKC is a 501(c)3 tax-exempt non-profit corporation. $ _________

Individual and Supporting Member dues are half the amount after August 30.

Makes checks payable to the Rockcastle Karst Conservancy.

Mail completed form and payment to: Rockcastle Karst Conservancy, 2217 Cleneay Ave, Norwood, OH 45212. [Last revised on 7/9/2007]