WSHLRC Membership Application
Name_______________________________ARBA#__________
Names of Youth Members and ages:__________________________
Address_________________________________Phone________
City_____________________________State_____ Zip______
Email________________________________________
What kind of membership? Adult, Youth, Husband/Wife, Family
Dues:
Adult for 1 year $7.00
Youth for 1 year $5.00
H/W for 1 year $10.00
Family for 1 year $14.00
Make checks payable to: WSHLRC
Print and Mail to Kevin Rudolph at:
Kevin Rudolph