Name: __________________________________________________________________
Address _________________________________________________________________
City, State Zip ____________________________________________________________
Phone: _________________ Email ____________________________________________
Please check preferred membership category:
___ Individual/Gift = $12
___ Student/Senior (65+) = $7
___ Family (Husband, wife, children under 18) = $25
___ Deer Feeding Friend (includes membership & Club tshirt)) = $40
___ Habitat Helper (Includes membership and cap) = $75
___ Conservationist (includes membership and golf shirt) = $100
Membership Dues ..............................................._________
Deer Feed Donation ........................................... _________
Keweenaw Legacy Building Fund Donation......_________
Total Enclosed.................................................... _________