MCKC Membership Application

When you join the Missouri Caves and Karst Conservancy, you are helping protect Missouri’s caves and karst resources.

Dues for regular membership are $20.00 per year (USD). *See chart at the end of page two for pro-rated dues, if you are joining mid-year.

You can also support our efforts by making additional monetary donations and/or volunteering your time and labor.

You can fill out this form online and send it via email to , if you use PayPal to pay dues. Or, you can print the form and mail it with a check payable to Missouri Caves and Karst Conservancy. You will find the PayPal link on the MCKC website Home page in the footer area: www.mocavesandkarst.org.

Mail your application and check or money order to: Laura Belarbi, MCKC Membership Secretary, PO Box 190456, St. Louis, MO 63119.

(Please Type or Print)

DATE: Click here to enter text.

NAME: Click here to enter text.

STREET ADDRESS: Click here to enter text.

(Number and street address preferred)

CITY:Click here to enter text.

STATE: Click here to enter text.

ZIP CODE: Click here to enter text.

PHONE: (home) Click here to enter text. (work or cell) Click here to enter text.

(Be sure to include Area Code with your phone numbers)

E-mail Address: Click here to enter text.

Grotto Affiliations: Click here to enter text.

Are you a member of the NSS? Click here to enter text. MSS?Click here to enter text.

Member Number(s) Click here to enter text.

Regular Classes of Membership:

Regular Membership - $20/one year

International Membership - $30 (US) /one year

Family Memberships - Regular or International membership plus $5 or each extra family member

Business expense; Invoice in Triplicate

Other Classes of Membership:

Donor $50/year

Sustaining $200/2 years

Contributing $100/year

Benefactor $500/5 years

Institutional $100/year

Patron $1,000/10 years.

Member categories Donor through Patron indicate t-Shirt Size:

M

L

XL

XXL

*If you are a new MCKC member and are joining mid-year, dues are pro-rated as follows:

MCKC Dues Pro-ration

July $20.00

August $18.33

September $16.66

October $14.99

November $13.33

December $11.66

January $10.00

February $ 8.33

March $ 6.66

April $ 5.00

May $ 3.33

June $ 1.67