Join Us!
Membership Form
Please print this form, fill-in the appropriate spaces, then mail with a check or money order payable to: "MUSKIES, INC."
Send to:
Muskies, Inc.
Ron Groeschl
14257 Waters Edge Ter
New Berlin, WI 53151
Name________________________________________________________
Address______________________________________________________
City/State___________________________________zip code__________
Phone________________________________
Chapter Affiliation Choice Number - Capital City Chapter (08)
My Membership #_________________ Expiration Date_______________
Check one: ___ New Member ___ Renewal ___ Address Change ___ Gift
Please choose membership type:
Check appropriate box(s)
___ Regular Member 1 yr - $35.00 ___ Two yr - $65.00 ___ Three yr. - $95.00
___ Family -1 magazine 1 yr - $47.50 ___ Two yr. - $90.00 ___ Three yr. - $132.50
___ Junior Member(must be under 20 years of age) - $20.00
___ Regular Active Military Membership (must use APO/Military Installation address) - $30.00
___ Muskie Research Donation $____________
Name of Spouse_____________________________________
Name of Junior Member_______________Birthday of Jr. Member_____________
Name of Junior Member_______________Birthday of Jr. Member_____________
A pdf version of this application can be found at: www.muskiesinc.org
