Membership Application

Membership eligibility:
American citizen residing in Saginaw, Bay, Genesee or Tuscola Counties. Applicant must be at least 18 years old and devoted to the preservation and conservation of our precious natural resources.

Fill out on-line form and hit submit at bottom.
Or print (button at bottom) and mail to:
Frankenmuth Conservation Club
P.O. BOX 231
Frankenmuth, MI 48734

Date

Name

Date of Birth-Month-Day-Year

I am 18 or Older

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How Long Have You Lived At Address

Phone Number

Area CodePhone Number

E-mail:

Marital Statues

Spouse's Name

List Children's Names and Age-Optional

Employer

How Long Have You Been Employed with Above Employer

Are You Willing to Volunteer In The Following Areas

Have You Applied for Membership Status Before

Sponsor's Name

Sponsor's Signature-if printed and mailed. If on-line submission, signature not needed.

_____________________________________________________________________

Enter the message as it's shown

Do Not Fill In Below, For Internal-Office Use Only.

Date Received

MonthDayYear

Date BOD Received and Reviewed

MonthDayYear

Status

Comments/Remarks

Date Notified

MonthDayYear

Amount Owed

Director's Signature

_________________________________________________________

Membership Application-2015