Membership Form KNMB Membership Application By becoming an annual member you are directly contributing to our grant and education programs. Corporate membership and sponsorship allows us to develop innovative and new programs. Please contact us regarding corporate membership or sponsorship. Type of Membership Cities $50 Towns, Villages, Pueblos $30 Organizations $30 Family (immediate, 2 votes) $40 Individual $20 Student $15 Senior (55+) $15 Lifetime $100 Membership Fee Name * Organization Address * City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code * Phone Number Fax Email * Date For Communities and Organizations Please designate a representative and alternate for voting. KNMB Rep Alternate one × = five Note: This form is not yet connected to our PayPal account.