Kentucky Chapter of The Wildlife Society
Membership Application Form
Please Print, Fill Out, and
Send This Form (along with a check for $4.00) to:
Keith Wethington, Kentucky
Department of Fish and Wildlife Resources,
#1 Game Farm Rd., Frankfort,
KY 40601
| Name:___________________________________________________________
Current Address: __________________________________________________ _______________________________________________________________ E-mail ______________________________ Phone:______________________ |
Please make your check payable to: KY CHAPTER TWS
Chapter dues: The $4.00 chapter dues can be paid in any of the following ways: