Membership Application

If you prefer to mail a check, please download, print, complete, and mail this paper version.

Resident Details

Membership Type

You will only be billed once. This annual membership does not automatically renew. All memberships renew at the regular membership rate in effect on the date of renewal (currently $12.00). Membership dues are non-refundable.

Membership Agreement

As a member of the Foundation, you agree to support and uphold the aims and objectives of the Foundation: To support and conduct non-partisan research, education, and informational activities to increase awareness of governance options in the Green Valley area of Blue Township in Pottawatomie County, Kansas, and to promote incorporation of the Green Valley area into the city (town) of Green Valley.

Non-Profit Status

The Green Valley Kansas Foundation is organized in Kansas as a not-for-profit corporation under K.S.A. 17-6002. The Foundation has applied for recognition under U.S. Internal Revenue Code Section 501(c)(4). Membership fees and contributions to help defray costs of the Foundation are not normally tax-deductible. No member of the Board of Directors or regular/founding members will be compensated for their services or participation but may be reimbursed for reasonable approved expenditures such as mailing materials, website hosting, postage, email addresses, etc.

Consent and Approval

By signing this application or submitting it electronically with payment, you acknowledge and agree to the fact that any direct contact details (above) will only be used by the Foundation in order to inform members of Foundation events and to communicate matters judged to be of relevance by the Foundation and for the purposes of issuing surveys. As a member of the Foundation, you are consenting to such use. The Foundation will rely on you to notify us of any changes to your information.