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Membership dues are $10.00 annually for those 21 and over and $5.00 for those under 21.
Membership Type: ___Age 21 Years & Over ($10) ___Age 20 Years & Under ($5) Name:_________________________________________ Address:_____________________________________________ City:______________________________ State:______ Zip:____________ Home Phone# ________________ Work Phone# _______________
Birthdate:_____/_____/_____ NAR# (If applicable):___________ TRA# (If applicable):____________ High Power Certification Level (Circle one): None 1 2 3 Email Address (If applicable):________________________________
Would you like your own wooshrocketry.org email address? Yes No
If Yes, what email name would you like?______________________________
Website Address (If applicable):___________________________________ Select a newsletter delivery method: ____Paper by mail ____PDF file electronically Type of membership:
____New ____Renewal
Make check or money order payable to: Darlene Jarosch, WOOSH Treasurer Please mail to: Darlene Jarosch 738 S. 113th St. West Allis, WI 53214