|
Print this application and
mail it to: |
|
Montanans For Multiple Use |
|
P.O. Box 2509 |
Kalispell,
MT 59903 |
|
(406) 755-6368 |
| |
| Name: |
| Address: |
| City/State/Zip Code: |
| Phone: |
Fax: |
E-mail: |
| Check this line for North
Lincoln County Chapter membership |
| How do you use public lands: |
| |
| |
| |
| Circle one of the following to indicate which
type of membership you wish to purchase: |
|
Family -
$30.00 (annual) |
Single/Senior -
$25.00 (annual) |
Hardship -
$15.00 (annual) |
Business -
$50.00 (annual) |
| Lifetime
Family Membership - $750 |
| Lifetime
Business Membership - $950 |
| Montanans
For Multiple Use Education Fund - $20 (annual) |
| Signature: |
Date: |