You can support IWLA’s community based, commonsense approach to conservation by becoming a member today. Please copy and paste this form into a document app, print, fill it out, and return it to us with your check.
Annual Memberships: ___ Individual (1 adult) $71.50 ___ Family (2 adults at same address) $99.00 ___ Student (age 18-21 or undergraduate) $44.00 ___ Youth (age 17 and under) $20.00
Name:
Second Name (Family Membership):
Date of Birth (Student or Youth only):
Address:
City: State: Zip:
Telephone: (______) _________ ___________
E-mail__________
$ ___________ Total amount enclosed (Please make check payable to: Rochester Chapter IWLA) ___________ Today’s date
Mail to: Rochester Chapter IWLA PO Box 431 Rochester, MN 55903
