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Georgia Wilderness Society
Membership Application

Print out this page, fill it in and pop into an envelope with your check to become part of the Georgia Wilderness Society.  Members receive our monthly newsletter and are welcome on all of our trips and events.


Georgia Wilderness Society Membership Application

Name_______________________________________

Address_____________________________________

            _____________________________________

E-mail Address________________________________

Home Phone_________________________________

Check one:     ___  Individual  $20 per year

                      ___  Family     $30 per year

                      ___  Student    $10 per year 
                                  School____________________

Please indicate how you would prefer to get your monthly newsletter (check only one below)

US Mail ___     or         E-mail ___

Note that if you choose by e-mail, you must provide your e-mail address above and the newsletter will be in an Adobe pdf format, which most browsers can view.



mail check made out to Georgia Wilderness Society to:

Georgia Wilderness Society
c/o Tom Payne
175 Sappington Rd.
Barnesville, GA 30204

Thank you!