Georgia Wilderness Society
Membership Application
Georgia Wilderness Society
Membership Application
MY DUES ARE FOR CALENDAR YEAR __________
Name ______________________________________________
Address ____________________________________________
___________________________________________________
Email ______________________________________________
Phone _____________________________________________
Check One: ____ Individual - $20.00
____ Family - $30.00
____ Student - $10.00
Make check payable to Georgia Wilderness Society
and mail to:
Georgia Wilderness Society
c/o Shirley Williams
PO Box 247
Dry Branch, GA 31020
