Testing 01 Membership Copy for Testing Purposes Form for new and renewing members. "*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.Email* Name* First Last StatePlease select the state you live in.KentuckyIndianaOhioWest VirginiaVirginiaTennesseeMissouriIllinoisOtherCountyPlease select Kentucky the county in which you liveAdairAllenAndersonBallardBarrenBathBellBooneBourbonBoydBoyleBrackenBreathittBreckinridgeBullittButlerCaldwellCallowayCampbellCarlisleCarrollCarterCaseyChristianClarkClayClintonCrittendenCumberlandDaviessEdmonsonElliottEstillFayetteFlemingFloydFranklinFultonGallatinGarrardGrantGravesGraysonGreenGreenupHancockHardinHarlanHarrisonHartHendersonHenryHickmanHopkinsJacksonJeffersonJessamineJohnsonKentonKnottKnoxLarueLaurelLawrenceLeeLeslieLetcherLewisLincolnLivingstonLoganLyonMcCrackenMcCrearyMcLeanMadisonMagoffinMarionMarshallMartinMasonMeadeMenifeeMercerMetcalfeMonroeMontgomeryMorganMuhlenbergNelsonNicholasOhioOldhamOwenOwsleyPendletonPerryPikePowellPulaskiRobertsonRockcastleRowanRussellScottShelbySimpsonSpencerTaylorToddTriggTrimbleUnionWarrenWashingtonWayneWebsterWhitleyWolfeWoodfordThis field is hidden when viewing the formRegionPhone (Optional)Is this a New Membership or a Renewal?* New Member Renewal For How Many Years?*Please select how many years of membership you would like. Please note that with a 3 year membership you will receive a 10% discount on your membership.The membership levels do not appear until you make a selection here. One Year Two Years Three Years Lifetime Paid ThruRenewal DateThis field is hidden when viewing the formYear JoinedThis field is hidden when viewing the formMembership TypeMembership Levels and Cost for a 1 Year Membership* Student – $10 Individual – $15 Family – $25 Sustaining – $50 Membership Levels and Cost for a 2 Year Membership* Student – $20 Individual – $30 Family – $50 Sustaining – $100 Membership Levels and Cost for a 3 Year Membership* Student – $27 Individual – $40 Family – $67 Sustaining – $145 Cost for a Lifetime Membership* Lifetime Membership – $200 This field is hidden when viewing the formI would like to help out KNPS with (check all that apply): Leadership & Organization Writing Articles Leading Field Trips Organizing Events Membership & Fundraising Website/Social Media Outreach & Education KNPS Volunteer OpportunitiesKNPS depends entirely on volunteers and the contributions of members and friends to accomplish our goals. Volunteering can be the best part of KNPS membership—you will meet the most interesting people and you will feel a sense of accomplishment as you join with others to support the Society and the native plants and plant communities of Kentucky. We have volunteer activities to suit every interest and energy level that are compatible with all lifestyles, with volunteer work ranging from 2-hour shifts to 2-year officer terms. Simply put, we cannot do this without the generous donations of time by people like you!Check the box below and when you submit your membership form you will be sent to our Volunteer Opportunities page where all of our current volunteer tasks and activities are listed. Yes, I would like to see the opportunities to volunteer for KNPS DonationIf you would like to make an additional donation to KNPS, please just enter the amount here. Memberships and donations are tax deductible. Institution or OrganizationRequired for Institutional membership, optional for othersAdditional Lady Slipper RecipientsIf you have additional family or friends who would like to receive our e-newsletter, The Lady Slipper please provide their names and email addresses below. You can click on the plus sign at the end of the row to add more names.NameEmail Address Add RemoveTotal (Membership+Donation) Δ Share or Print this page Share on Facebook (Opens in new window) Facebook Print (Opens in new window) Print
