Kentucky Storytelling Association

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Membership Form

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Programs & Activities

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KSA Gift Membership Form

KSA members receive a $10 discount on the purchase of gift memberships for new KSA members.

Step 1. Fill out the Gift Membership Form below. To give more than one gift membership, please submit a separate form for each gift membership.

Gift Membership Form

Your Name
Should KSA acknowledge you as the giver?	Yes No
Name of New Member
Name of New Family, Institution/Organization, if applicable
Street Address
City
State
ZIP code
E-mail
Telephone

Type of Membership (Select one)

Regular Individual: $15 per year
Student: $5 per year
Elder over 65: $10 per year
Family (to include all members of one family, living in the same household or members supported by family off attending school): $40 per year
Institution/Organization: $50 per year

Payment method (Select one)

Mail a check or money order to KSA
Pay online using my credit or debit card through PayPal.

Step 2. Pay For Gift Memberships(s). If you are purchasing more than one gift membership and wish to pay for all of them in a single transaction, go ahead and enter nospam below, and select the Submit Gift Membership Form button below. You’ll need to fill out and submit a new form for each Gift Membership. After you have submitted all your Gift Membership Forms, select "Pay For Gift Memberships(s)" above or on the receipt after you submit this form.

Please enter the word nospam in the box provided below.
This is a primitive spam prevention technique, and we apologize for the inconvenience.

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