(to qualify for "Youth" you must have completed the 6th grade, and can not be older than 18 years of age)
Please indicate if this is: New Membership: _____ or Renewal Membership: ____
Please indicate if a: Single: ____ Dual membership: ____ Youth____ Commercial ____
Name:______________________________________________________________
Address:____________________________________________________________
City:________________________________State:__________ Zip Code:_________
Phone:_________________________________________
E-mail:_________________________________________
Membership is from January 1st to December 31st of each year. You will receive a ballot (Youth memberships are not eligible to vote) in January of the following year for the National board of Directors election.