Georgia Wilderness Society
Membership Application


                        Georgia Wilderness Society
                        Membership Application


Name ______________________________________________

Address ____________________________________________

___________________________________________________

Email ______________________________________________

Phone _____________________________________________


Check One:____ Individual, $20/year

                    ____ Family, $30/year

                    ____ Student, $10/year


Mail check payable to the Georgia Wilderness Society to:

Georgia Wilderness Society
c/0 Tom Payne
175 Sappington Rd.
Barnesville, GA 30204