KPMS Membership Form

Please fill out the following information, and mail along with a check for $20 per family or individual to:

Kitsap Peninsula Mycological Society
P.O. Box 3082
Bremerton WA 98310-0394
First Name:
Last Name:
Address:
City:
     State:      Zip:
Email:
Phone:
     Cell:
How did you hear about us?
EcoFest      Water Festival      Future Festival      County Fair      Forest Festival
KPMS Annual Show      Friend/Family      Newspaper      Web      Other