OZARKS GREEN BUILDING COALITION

Membership Application

Name _______________________________________________

Organization _________________________________________________

Address ______________________________________________________

City ___________________________ State _________ Zip ____________

Phone _____________ Fax _____________ Email ____________________

Web site address _______________________________________________

Annual membership fee is $25. Make checks payable to OGBC.

Print out, fill out and RETURN COMPLETED FORM TO:

Ozarks Green Building Coalition
PO Box 3032
Springfield, MO 65804