Membership Application

⚠ There are items in this form that require your attention

Name *

Telephone

Address

I acknowledge and am aware there is an annual membership fee of $10.00 in order to maintain an “Active” membership status

Sign - click ? for more info

Date

While my membership is active, I wish to receive:

Quarterly newsletters

Fundraising Campaign information

Annual Reports

Invitations to the Annual General Meetings

Relevant KDEFS Updates

check all that apply

⚠ There are items in this form that require your attention