To join the Izaak Walton - Cortland Field Archers,
Please key in the information boxes below and then print this form. 

(Pay to: IWLA Cortland Chapter), Include it with your check or money order, and send to :

 

Izaak Walton - Cortland Chapter

c/o Dave Hauck, Treasurer

1908 Daisy Hollow Rd

Cortland, NY 13045


Is this an Individual or Family Membership?

Your Name:

Street Address:

City:

State:

Zip Code:

Home Phone:

Current Email:

Sponsor Name:

 What type of membership would you like ? 
 What services can you provide as a member ?

Best time to contact you:

I certify the information provided is accurate:___________________________________________

(signature)

If you would like, add your comments in the box below, then print :

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