Please check membership category:   

_________Student($11.00)         

_________Regular ($16.00)                           

_________Contributing  ($26.00)

Amount Paid_________    

These amounts include both state and chapter dues

Make checks payable to:  

Missouri Native Plant Society 

Send this form with payment to:                      

Paula Peters

2216 Grace Ellen Dr

Columbia, MO 65202         

Name:____________________________

Address:__________________________

              __________________________       

Telephone:        

            Evening____________________ 

            Day_______________________

E-mail:___________________________

Would you like to receive your newsletter by (circle choice)

Regular Mail          E-Mail 

Would you like to receive reminders and updates on field trips and other events by email?   _______________