Fort Klock Historic Restoration Membership Form
Meeting are held the second Wednesday of the month at 7 pm

    To the prospective member:  We are pleased that you have expressed an interest in joining our organization.  Below are the various classes of membership, which you should weigh against your own situation and intentions.  Please select one by checking the appropriate box, sign your name at the bottom of the form, and mail to:

Fort Klock Historic Restoration
P.O. Box 42
St. Johnsville, New York 13452

(   ) Junior Member:  If you are between 14 & 18 years of age and wish to become involved in the activities at Fort Klock, you may participate as a non-voting Junior member.  Annual dues are $2.00.

(   ) Young Pioneer: For persons 9-13 years of age and have completed the Young Pioneer program and are invited to participate in all Fort Klock Functions.  Will receive a newsletter.  Annual dues are $1.00

(   ) Individual Supporting Member:  This class of is designed for those who wish to support Fort Klock but are unable to devote the time required of an active member.  You are welcome at all monthly meeting, though you will not have voting rights.  Will receive a newsletter.  Annual dues are $15.00.

(   ) Family Supporting Member:  For parents and their children who wish to support and participate in Fort Klock functions, without voting privileges or the right to hold office.  Will receive a newsletter.  Annual dues are $20.00.

(   ) Life Supporting Member:  This class of membership is designed for those who are capable and desirous of supporting Fort Klock with a large cash donation.  Upon the receipt of $250.00 or more, you will be considered a non-voting Life Supporting Member for life.  Attendance at monthly meetings and participation in functions will be left to your discretion.  Will receive a newsletter.

(   ) Active Member:  This class of membership is intended for those individuals desirous of participating in the operation of Fort Klock Historic Restoration. Planning activities, participating in functions, sharing in the decision making process as a voting member and being present at a majority of the monthly membership meetings constitutes active membership status.  As a prospective member, you need a sponsor from the active membership and must attend two membership meeting before the membership committee will act on your application.  Will receive a newsletter.  Annual dues are $10.00.
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Junior, Supporting, or Life Supporting Member ____________________________
                                                                                                   Class of Membership

Print Name ________________________________________     Date __________________________

Address ___________________________________________    Phone #________________________

                       ___________________________________________   

Signature of Prospective Member____________________________________

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Active Member

Print Name___________________________________________      Date________________________

Address ____________________________________      Phone # _____________________

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Signature of Prospective Member:______________________________________
Signature of Sponsoring Member: _______________________________________________________   
Approval of Membership Committee: Date __________________ Initialed ___________