N.I.A.A. Membership Application
Print out this page, fill it out and mail it to:
N.I.A.A., P.O. Box 188,
Bourbonnais, IL 60914

Please mark your choice of membership.
Youth Membership$5
     (Available to individuals under 18 years of age)
     You will receive a membership card, member patch and a subscription to                 "Currents".
Active Membership$20
     (Available to individuals 18 years of age and older)
     You will receive a membership card, member patch and a subscription to    .    .        "Currents".
Family Membership$35
     (Available to you and your spouse and children in your household under 18 years of age)
     You will receive a membership card,
member patch and a subscription to                  "Currents".
Supporting Membership$50
     (Available to you and your spouse and children in your household under 18 years of age)
     You will receive a membership card,
member patch and a subscription to                  "Currents".
Sponsorship Membership$100
     (Available to you and your spouse and children in your household under 18 years of age)
     
You will receive a membership card,member patch and a subscription to      "Currents", recognition in Currents as a Sponsor and one ticket to the Annual             Events.
Individual Lifetime Membership$500
     (Available to you and your spouse)
     
You will receive a Lifetime Membership Card, up to 2 member patchs and a              subscription to "Currents", recognition in Currents as a lifetime member and two        tickets each year to the Annual Events.
Corporate Membership$500
     
You will receive a Membership Card, and a subscription to "Currents", recognition in Currents as a corporate sponsor and two tickets each year to the Annual Events.



Please note that this application will print on 2 pages...  Please include both pages of this application.     Thank you.






Yes, I want to join the N.I.A.A. and work to preserve and improve the waterways of Northern Illinois. I support the N.I.A.A.'s efforts to protect, restore, and enhance the waters of Illinois.. My payment for annual dues is enclosed.

Your Name:_______________________________

Spouse:__________________________________

Child:____________________________________

Child:____________________________________

Child:____________________________________

Child:____________________________________

Address:__________________________________

City:_______________State:_______Zip:_______

Telephone#: (____)_____-______

Signature:________________________________

Please make your check payable to: N.I.A.A. - (Membership dues are paid annually and are due March 31)