Membership Form

Please fill out the Membership Form and Mail it in (or bring it to a meeting) with your payment.

The form will be emailed to the email address you fill in so make sure you use a valid current email.

Email will be used to send you the "Lines & Leader" Newsletter. Email Addresses will not be sold or given to third party entities.

Are you renewing, make sure you use a current email address or you may not receive the "Newsletter"

Use the Change of email form if you need to update your email instead.

Membership

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 Check for Change of Address

New or Renew Membership* Select OneNew MemberRenew

Name*

Email*

Verify Email*

Subject*

Address*

Address 2

City*

State*Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonDistrict of ColumbiaWest VirginiaWisconsinWyoming

Zip Code*

Home Phone

Work Phone

Please check a committee you are on now or wish to be on:

 Conservation

 Education

 Fund Raising

 Secretarial Duties

 Program

 Publicity

 Banquet

 Indoor Facitilties

Select amount due:

Dues Structure* Select OneJunior (under 16) $5.00Regular $25.00Supporting $30.00Contributing $75.00Life $300.00

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