Dragoon Trail Chapter of the Izaak Walton League of America, Ankeny IA

From AnkenyIkes.org

• See the bottom of the application for mailing address.

Dragoon Trail Chapter of the Izaak Walton League of America, Ankeny, Iowa

2012 New Member Application

Name: ______________________________________________________________________

Address: _____________________________________________________________________

City/State/Zip: _____________________________________________________________

Employer/Business Name: _______________________ Occupation: ________________________

Email Address: ___________________________________

Phone/Cell: __________________ Phone/Home: __________________

How did you find out about our chapter? ______________________________________

I pledge to abide by the rules and regulations of the Dragoon Trail Chapter, the Iowa Division, and the National Izaak Walton League of America.

Signature: _____________________________________ Date: ____________________

This is a Ankeny Ikes new member application for 2012. Ike's dues are per calendar year. This includes dues for the National Organization, the State Division, and the Local Chapter. 2012 dues are $140 for Calendar Year 2012.

Dragoon Trail Chapter Receipt of Dues Payment -- Temporary Proof Of Membership

Receipt of:
o $140 For Calendar Year 2012, Today's Date: __________

By Chapter Officer: __________________________________________

Gate Combination: _____________________ (Keep this receipt with you while using the facilities until your membership card arrives)

Facility Address: 4857 NE 110th Ave Elkhart IA

Mail payment and application to: Wendy Arnburg | 841 Euclid Ave | Des Moines IA 50313

NOTE: Absolutely NO in-person applications or renewals will be accepted at this location. Please call (515) 681-5973 or email Ankenyikes@aol.com for in person payment options.