PRINT MEMBERSHIP FORM




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


First Name:______________________  Last Name ________________________________

Address:________________________________________________________

City ___________________________

State________________________

Zip Code__________________

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

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