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 18 years of age and younger)      You will receive a membership card, and a subscription to "Currents".

Active Membership — $20      (Available to individuals 18 years of age and older)      You will receive a membership card, and a subscription to "Currents".

Family Membership — $35      (Available to you and your spouse and children in your household 18 years of age and younger)      You will receive a membership card for each person, and a subscription to      "Currents".

Supporting Membership — $50      (Available to you and your spouse and children in your household 18 years of age and younger)      You will receive a membership card for each person, and a subscription to      "Currents".

Sponsorship Membership — $100      (Available to you and your spouse and children in your household 18 years of age and younger)      You will receive a membership card for each person, and a subscription to      "Currents" and one ticket each year to the Bronzeback Outing and Annual      Banquet.

Individual Lifetime Membership — $500      (Available to you and your spouse and children in your household 18 years of age and younger)      You will receive a membership card for each person, and a subscription to      "Currents" and one ticket each year to the Bronzeback Outing and Annual      Banquet.

Corporate Membership — $500      You will receive a membership card for each person, and a subscription to      "Currents" and two tickets to the Bronzeback Outing and Annual Banquet.

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 ensure clean waters for recreational purposes and ecological balance. My payment for annual dues is enclosed.

Your Name:_______________________________

Address:_________________________________

City:_______________State:_______Zip:_______

Telephone#: (____)_____-______

Signature:________________________________

Please make your check payable to: N.I.A.A. - (Dues are billed each April)