MDWFA Membership Application

Maryland Waterfowler's AssociationAre you a (select one):

   (   ) New Member   OR    (   ) Renewing Member

Please select one of the below options:

   (   ) Youth Membership (16 and under) $10.00 yearly. Members receive a member decal, Newsletters, and for first time joining, a LeMaster Guide.

   (   ) Novice Membership $15.00 yearly. Members receive 2 5" member decals and our newsletters.

   (   ) Sponsor Membership $25.00 yearly. Members receive 2 5" sponsor decals, our newsletters and an MDWFA hat (hat for new members only).

   (   ) Premium Sponsor Membership $100.00 yearly. Premium sponsor members will receive 2 5" sponsor decals, our newsletters, an MDWFA hat and an Engraved Call (Choice of (   ) Duck Call or (   ) Goose Call- select one only).

   A three year membership can be obtained at a discounted rate, please contact us at mdwfa@mdwfa.org for more information.

   (   ) Lifetime Membership $1000.00. Members receive our newsletters, an MDWFA hat, an Engraved Call (Choice of (   ) Duck Call or (   ) Goose Call - select one only) and a Member Jacket with the MDWFA logo. (Can be made in 4 equal yearly payments with jacket sent on receipt of the third payment.)

   (   ) Gold Lifetime Membership $2500.00. Members will receive our newsletters, an MDWFA hat, an Engraved Call (Choice of (   ) Duck Call or (   ) Goose Call - select one only), a Member Jacket with the MDWFA logo and a decorative decoy. (Can be made in 4 equal yearly payments with jacket sent on receipt of the third payment and decoy on receipt of the fourth payment.)

Communication: The MDWFA will frequently be contacting you with updates on Legislation we are trying to change for the good of Waterfowler's; public meetings that are being held; swap meets that we are arranging and meetings that we will be holding. How would you prefer for us to contact you with this information? (Select one from below.)

   (   ) E-mail
   (   ) Regular mail

Contact Information (PLEASE PRINT):
Name:_____________________________________________
Street Address:_____________________________________________
City, State and Zip Code:_____________________________________________
County:_____________________________________________
Phone (including Area Code):_____________________________________________
E-mail address:_____________________________________________

Make checks payable to MDWFA and mail your completed form to:

MDWFA, 7 Howard Drive, Lutherville, MD 21093