Name__________________________Telephone(____)___________

Address______________________________City________________

State_____________Zip____________Email___________________

Annual dues are:

$10 residents of the continental U.S.A.
$15 all others (must be paid in U.S. currency)

Other family members living in the same household
may join for $2 each.

Date____________Amount Enclosed $____New______Renewal____

Name of family member(s)___________________________________________________

Print this form and send it with a check or money order to:

IAWW Treasurer
Kathy Dailey
9863 Wolf Rd.
Bloomington, IL 61704
email kathydailey@verizon.net