Membership Form

If you would like more information, please contact Charles Phelps (502) 239-1323.

 Dues are $20.00 Annually. (Please make your check for $20.00 payable to the GLK&GS)

 If you would like to join our club, please complete the application form below and mail check to the following address:

GLK & GS

6806 Briscoe Lane

Louisville, KY  40228

 

First Name:          Last Name: 

Street Address: 

City:              State:              Zipcode: 

Daytime Phone Number:          Evening Phone Number: 

E-Mail Address: