Donations of $50 and above may be individual or joint memberships
(joint members are entitled to two votes) __ Individual __Joint

Name ________________________________ Phone ________________

Second name (for joint memberships) ___________________________

Signature ____________________

___ Please call me to volunteer at KHLT KHLT membership donations are tax deductible

Please return to KHLT at the address most convenient for you:
PO Box 2400, Homer, AK 99603 o PO Box 511, Seward, AK 99664 o PO Box 356, Soldatna, AK 99669