| NAME: _______________________________________________________________________________ Last First M.I. Address: ____________________________________________________________________________ Street/Route City Zip Code Telephone: _________________________________ Email: ___________________________________ County(ies) in which timber is owned: ______________________________________________________ Renewal New Member Gift Membership Please return the above form with your $15 dues to: Mail me a copy of the Arkansas Forest Stewardship Program brochure and Ozark Woodland Owner's Association enrollment form 490 East College Street, Room 242 Batesville AR 72501 Telephone (870) 793-4164 ext 3 |