INTERNATIONAL WOMEN FLY FISHERS |
MEMBERSHIP 2010 |
New______________ |
Renewal___________ |
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*Membership runs from January 1st through December 31st. |
General Annual Membership | $ 25.00 US /calendar year | ||||||
| Membership Discount: Pay for 5 years up front and save! |
$100.00 US/5 calendar years | |||||||
| Reduced Membership (must be 18 years or younger | $ 15.00 US /calendar year) | |||||||
Name: ___________________________________________Home Phone: ________________________ Address: _____________________________________________________________________________ City: __________________________________State: _____Country: __________ Zip:_____________ Cell Phone: ____________________________ Fax No: _______________________________________ Email: _______________________________________________________________________________ Name of Business: ____________________________________________ Bus Phone: _____________ Profession: ___________________________________________________________________________ Club Affiliation: _______________________________________________________________________ Web Site: ____________________________________________________________________________ How did you learn of IWFF? ___ Ad in Newsletter/Magazine (specify which) ____________________ ___ Local Club Referral ___ Other (specify) _______________________ Benefits of membership include our quarterly newsletter, membership to our online Talk group via Topica, access to our Club Liaison network and its assistance through the Club Start Program, and all of the opportunities that are associated with our festivals, rendezvous and gatherings including education and skills development, learning about products for the fly fishing woman, networking, and meeting others who share a love of fly fishing. |
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Do ___Do not ____include my name on the membership roster which will be distributed to the membership of IWFF and is for personal use. Do ___Do not ____include my name on mailing lists released by IWFF Board of Directors to outside entities associated with fly fishing. |
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Credit card: ___ Visa ___ Mastercard ___ Discover ___American Express Card Number: _______________________________________________________ Expiration Date: ____________________ Authorized Signature: ___________________________________ |
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WAIVER OF LIABILITY In consideration of
participating in International Women Fly Fishers activities and/or events, I
hereby indemnify and hold harmless and release the International Women Fly
Fishers, its Officers, Board of Directors, Members and Agents from any and
all liability for any injury suffered by myself, or my minor children,
arising from or connected with club activities or events. I assume all the
risk for any injury received and agree to hold the International Women Fly
Fishers free and harmless from any and all costs, expenses and attorneys
fees incurred in connection with any action, claim or demand brought
thereon. I further agree to abide by all terms and conditions set forth in
the club by-laws and regulations. |
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