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Complete the form below and submit your membership application online, or print the membership application as a .pdf file which requires Adobe Acrobat Reader. If the pdf form doesn't open, you can download or upgrade Acrobat Reader here.

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If you print the membership application form, you can fill it in and bring it to our next meeting or mail it to:
Voices of the Heartland
P. O. Box 338
Kechi, Kansas 67067-0338

Click here to download our brochure to read and share with others.

Submit your membership application online

Type of membership: Individual Business Group/Organization
Individual members have voting privileges and can serve in official capacities of the organization.

	Mr Mrs Miss Ms Other:
First Name
Last Name
Contact Person (For group or business membership only)
Address
City
State
Zip code
E-mail
Phone

Notify me of group meetings and news by: Telephone E-mail

Mission Statement
Voices of the Heartland is a coalition of citizens from South Central Kansas who believe that casino development or other gambling expansion is detrimental to the social and economic condition of our community. We have organized to preserve and support a healthy environment in South Central Kansas through community education for families and businesses.

I agree with the mission of the Voices of the Heartland and want to be a member of the organization.

I am willing to volunteer in the organization in these ways:

Talk to my friends and neighbors	Serve on a committee
Write letters and e-mails	Serve on the Board (if elected)
Pass out flyers	Give presentations to other groups
Staff information tables at meetings	Write articles and news
Make telephone calls to members	Other

Please list special skills or training that you have:

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Copyright © 2005 Voices of the Heartland
Last modified: 07/19/07