Kansas Fur Harvesters Association, Inc.

Membership Application

 

Name ___________________________      Address _____________________________

 

City ___________________________          State _______       Zip Code ____________  

Phone  (_____)_______________  Email Address  ______________________________

County ____________________                New _______        Renewal _______

Adult Membership $20.00             Family Membership   $25.00

Junior Membership (15 and under) $15.00

Lifetime Membership $300.00

Mail form and payment to:     Pauline Brecheisen, 24658 Lyon Road, Chanute, KS 66720