SDMPS Membership Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form and then mail your membership to:

Snake Den Mounds Preservation Society
P.O. Box 154
Ashville, Ohio 43103

Be sure to write the type of membership in the memo line

you can pay online here. Be sure to include your membership type in the notes box.

Thank you for your support.

Name (First and Last) *

Other Name(s) for Family Memberships or Business Memberships only

Company/Organization Name (if applicable)

Email *

Address *

Phone number *

Type of Membership *

Individual Membership ($10)

Lifetime Individual ($200)

Family Membership ($15)

Lifetime Family ($350) *includes children until they reach 18 years old

Teacher Membership ($5)

Student Membership ($2)

Organization Membership ($25)

Small Business Membership ($25)

Corporate Membership ($200)

Required

Any additional Notes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report