Membership Form Fields marked with an * are required First Name Last Name First and Last Name of Second Person (Couple membership only) Address 1 Address 2 City Zip / Post Code State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Phone Email Email of second member Membership Type Single $25 Couple $40 I agree to the Bylaws and rules of KSGRA as well agree to comply with all laws when participating in or attending any KSGRA sponsored events or functions. * If you are a human seeing this field, please leave it empty.
