Mid-Atlantic Koi Club (MAKC) Individual/Family Application Mid-Atlantic Koi Club (MAKC) is an association of koi, goldfish and watergarden enthusiasts who gather to expand their knowledge and appreciation of the hobby. The club meets at convenient regional locations in the Mid-Atlantic area. We also publish an informative monthly online magazine (bi-monthly in Nov/Dec & Jan/Feb). The Family/Individual Membership dues are $30 per year. Membership renewal date is one year after membership application has been accepted. You will be notified when your membership is up for renewal. Please provide the following information: Date ___________ New Member _____ Renewing Member ____ Name_______________________________________________________ Address __________________________________________ City ____________________ State _____ Zip _______ Phone _______________ E-mail________________________________________________ Please check all subjects in the following list that interest you, or that you would be able to assist the club with: _____ Have a Club meeting at your home _____ Pond construction, maintenance, filtration theory and practice _____ How to select Koi – their diseases and treatment _____ Feature your pond for members to visit or be featured on a Pond Tour _____ Share a special skill or knowledge at a meeting _____ Volunteer in the club (circle choices) President, Vice President, Recording Secretary, Membership Secretary, Treasurer, Newsletter Editor, Webmaster, Marketing _____ Are there any fish or pond related problems you need help with? If so, what kind? _______________________________________________________________________________________ We do not sell/offer/trade/distribute member information to outside enterprises Please mail membership application along with a check (payable to MAKC) to our Membership Secretary or bring it to any meeting. You can also pay via credit card at www.Paypal.com. Our PayPal account email address is kgwgclub@earthlink.net You will be notified when your membership is up for renewal. Do not wish to have name published in Membership Directory please check box _______ MAKC PO Box 91 Ulster Park, NY 12487 Fax Number: 1-800-886-8067 Phone Number (845) 389-5712 E-mail: kgwgclub@earthlink.net