INTERNATIONAL WOMEN FLY FISHERS
MEMBERSHIP 2010
New______________
Renewal___________

*Membership runs from January 1st through December 31st.
If you've entered an email address, your newsletter will automatically be emailed to you at that address.
If you have any questions regarding your membership status please contact me:
Rebecca_blair@sbcglobal.net

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) _______________________

                                                 
Where would you like to have an IWFF Festival held? _________________________________________

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.

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.

Credit card:   ___ Visa ___ Mastercard ___ Discover ___American Express 

Card Number: _______________________________________________________ Expiration Date: ____________________

Authorized Signature: ___________________________________

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.
 Signature: _________________________________________________________                Date: ____________________

 

Mail this form along with dues to:

 

International Women Fly Fishers

6404 Lagunitas Ave.

El Cerrito CA 94530

 

For more information contact:

Rebecca Blair  510-215-2824 rebecca_blair@sbcglobal.net

 

Fanny Krieger

fannykrieger@mac.com

 

 

I would be interested in joining a committee. Please circle.

Festival       Membership         Education    

Industry      Newsletter       Conservation

Public Relations   Historian      Website

Club Liaison   

Other: _________________________