Kansas Custom Knifemaker’s Association Membership Application Annual membership fee is $30.00, which includes listing of your contact information and web site address on the “Members” page of the KCKA web site. The annual membership period is January 1st through December 31st. Membership dues paid after October 1st cover the following calendar year. Membership renewals must be paid by March 1st to avoid cancellation of membership. Please print and complete this form and mail it to the address below with a check or money order for $30.00 payable to KCKA: KCKA 5682 94th street Meriden, KS 66512 Your information below will be held confidential and only used by the KCKA to contact you concerning important membership news and business. Name: ______________________________________________________________ Street Address: _______________________________________________________ City: ______________________________State: _______Zip Code: ______________ E-mail Address: _______________________________________________________ Web Site: ____________________________________________________________ Phone Number: _______________________________________________________ Please fill out the information below to be placed on the “Members” page of the KCKA web site, if different than the information provided above. ______Same as above. ______Do not put my information on the KCKA web site. Name: ______________________________________________________________ Street Address: _______________________________________________________ City: ______________________________State: _______Zip Code: ______________ E-mail Address: _______________________________________________________ Phone Number: _______________________________________________________ Web Site: ____________________________________________________________ Interest in knives; example: Stock removal maker, forged knife maker, collector, leather worker. ____________________________________________________________________ |