Membership Form

Send the following information to: 

Kathy Karjala
1627 W. Main, PMB 252
Bozeman, MT 59715

Primary Member's Last Name: ___________________________First Name:____________________

Other Family Member (s):

__________________________                             __________________________

__________________________                             __________________________

__________________________                             __________________________

Address:_______________________________________________________

City:__________________________State: ________Zip:_________________

Phone #:_______________________

e-mail address:___________________________________________________

Please include dues for the following:

Primary Member:         $25.00    
OR
Family Membership:  $ 30.00
(Don't forget to include the family member's name(s)!)

If you have any questions you can e-mail Kathy Karjala.