MEMBERSHIP FORM




Shawnee Trail Conservancy
P.O. Box 44
Eddyville, IL 62928


First Name:______________________ Last Name ________________________________

Address:________________________________________________________

City ___________________________

State________________________

Zip Code__________________

Email___________________________________________________


Membership in the Shawnee Trail Conservancy runs January 1stthrough December 31stof each year.
Memberships are still:
$10.00 for individual --- $20.00 for families ---$30.00 for businesses / organizations

New____________

Renewal____________________

Membership Amount $______________

Donation Amount $______________

Total Enclosed $_____________


Thank you for your commitment to mul-tiuse public access to the Shawnee National Forest.
Mail check to: Shawnee Trail Conservancy
PO Box 44
Eddyville, IL 62928

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