NAME_________________________________________________________

ADDRESS_____________________________________________________

CITY__________________________________________________________

STATE____________________________ ZIP_________________________

HOME PHONE_____-______-______OFFICE PHONE_____-______-______

         Cell _____-_______-_______            Cell ______-_______-________

         Fax _____-_______-_______             Fax ______-_______-________

EMAIL ADDRESS______________________________________________

NRA Member    _______ yes    ________ no       Number ____________

Referred By ___________________________________ (W&W Member)

PLEASE INDICATE YOUR PREFERENCE BY CHECKING:

       ________________    I do NOT have e-mail and will be taking my monthly meeting notice via regular mail.

      OR

       ________________    To be notified via email of the availability of the

monthly newsletter and activity flyers on the  www.woodsandwatersclub.com

web site.

PLEASE CIRCLE CHOICE

SINGLE MEMBERSHIP                 DUES - 2008      $ 50.00.   

Single Membership

 

FAMILY MEMBERSHIP                  DUES - 2008      $ 65.00

(must live in same household - one mailing or email notification)

NAME OF FAMILY MEMBER  _______________________________

Family Membership

 

SIGNATURE _____________________________

Made Payable to "The Woods and Waters Club, Inc." Mail to:

Woods and Waters Club, Inc.

P.O. Box 770506

Lakewood, OH 44107-0027