Print and mail application and fee to:

 Friends of the Mount Gilead State Park,  P.O. Box 145, Mount Gilead, Ohio 43338

The Friends of the Mount Gilead State Park, Inc.
dba FRIENDS OF THE PARK

Membership Application

Name: ______________________________ _________________________ Date:_________________

Address: ______________________________ ______________________________ ________________

Telephone: _________________ FAX: ____________________Email: ___________________________

I certify by my signature below that I am over 18 years of age and a citizen of the United States.

Fee: $10.00        Signature:: ______________________________ _______________________________