"Friends of Kaw Heritage"
Membership Form
(Print and mail to address below)

_____Benefactor $100     _____Family $20
_____Sustaining $50 _____Individual $10
_____Business/Org. $30 _____Student $5


Name(s)___________________________________

Address_____________________________________

City, State, Zip__________________________________

Telephone (____) ___________________________

E-mail Address:_____________________________

Make checks payable to:
Friends of Kaw Heritage, Inc.
500 N. Mission
Council Grove, KS  66846

E-mail: kawmission@kshs.org
Phone or FAX:  (620) 767-5410

Return to "Friends of Kaw Heritage"