Membership Form

KGA Membership Form
Homeschoolers other non-teachers use preferred mailing address.
Note: We will not share your information.
First and Last Name
School or professional affiliation
Grade(s) Taught Subject(s) Taught
School or Work Address:
Street Apt. or Suite

City State Zip Code

E-mail

Donations are optional, but contributions help offset
mailing and operating costs of the KGA. Please make checks payable to
the Kansas Geographic Alliance. Mail to the KGA address below.

Other
Please list any other relevent information here:

You may:

a) Respond on this form;

or
b) print this out and "snail mail" it;
or
c) if your browser has trouble with forms respond by email to:
Mary Settle , Office Manager
Geosciences Dept./KGA
Fort Hays State University
600 Park Street
Hays, KS 67601-4099

e-mail: kgalib@fhsu.edu

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