Complete the form below (print, please) and return, along with the donation, to:              
Peace Network of the Ozarks
P.O. Box 135
Turner, MO  65765-0135


Springfield, MO 65807

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                   PNO MEMBERSHIP


______________________________________________

(print name)                                                (signature)

Phone:_______________ Email:___________(print legibly)

Email users will be automatically added to our list. Non-email

members will be called about calendar events.

 
Mailing Address:_________________________________

                                      (street)

_______________________________________________
(city)                                              (state)        (zip)
 
I am including $_____as my required annual donation.

(Please make out checks to Peace Network of the Ozarks.)

  I would like to work on______________________________  _______________

IF NON-VOTING MEMBER
: We plan to continue sending out information about our activities to our current mailing list. If you don't have email and choose to continue participating in PNO events, do you still want to be called with reminders about PNO events and programs?

Yes, please provide the following information to facilitate contacting you:
Name: _________________________________________ Phone: (_____)______________
_______________________________________________________________________________________
(street address) (city/state) (zip)