Gift Membership Form

Use this form to give a gift membership. The first section is information about you, the gift giver. The second section is information about the gift membership recipient.

If you have any questions about this form, before submitting, just email us at KYPlants@knps.org

"*" indicates required fields

Name of Person Giving the Gift Membeship*

First Last

Email Address of Person Giving the Gift Membership*

Notification*

Do you want the KNPS to notify the gift recipient via email? That email will tell them that they are now a member of KNPS and tell them who gave them the gift. You will receive a copy of that email.

Alternatively, we can just notify you that their membership is active. We will also send you an attractive PDF notice of the gift membership that you can either print out and give the recipient or email it to them.

Notify the gift recipient and the gift giver

Notify only the gift giver

Information About the Gift Recipient

Name of the Person Receiving the Gift Membership*

First Last

Email Address of the Person Receiving the Gift Membership*

Address of the Person Receiving the Gift Membership (if known)

Street Address Address Line 2 City State Zip Code

County of Residence of the Person Receiving the Gift Membership (if known)

Phone (Optional)

Membership Levels and Cost for a 1 Year Membership*

Student – $10

Individual – $15

Family – $25

Verification

Verify that you are not an Internet ‘bot by checking the box below.

Total Cost

Payment

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Comments

This field is for validation purposes and should be left unchanged.

Gift Membership Form

Information About the Gift Recipient

Share or Print this page