Orgmembership

Organization Info

Name of Organization *

Number of Members *

How often do you meet? *

How many hikes/outings per year do you offer your members? *

What outings, if any, do you offer besides hiking? *

How many times a year do you send a newsletter to your members? *

In what areas would the services of KTA be helpful to your group? *

Brief statement of purpose and goals of your organization: *

Directory Contact Info

Organization Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Website *

* Indicates required field

President / Club Executive Contact

Name *

Position *

Phone *

Email *

Who will represent your organization for KTA? *

Treasurer or KTA Representative

Name *

Position *

Phone *

Email *

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