The Izzak Walton league of America

Chapter Membership Application

Send to Mahaska County Ikes

PO Box 592

Oskaloosa, Iowa 52577

Yes I want to help support conservation of our natural resources

Enroll me as a chapter members. Enclosed are my dues for $58.00

which includes a subscription to Outdoor America Magazine.

Name:__________________________________________

Street:___________________________________________

City/State/Zip_____________________________________

Phone:___________________________________________

Sponser:__________________________________________

(Simply apply and any member can choose to sponser you)

The Izaak Walton League of America - a non-profit conservation organization - is recognized

as a Section 501(c)(3) public charity under the Internal Revenue Code.

Minimum national dues are $36 for individual and $54 for family membership,

which includes $4 for Outdoor America magazine.

Magazine is inseparable from dues. Chapter and Division dues may vary.