Membership At Large Application
Izaak Walton League of America  

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 memberships, which includes $4 for Outdoor America magazine. Magazine is inseparable from dues. Chapter and Division dues may vary.
Note that a Ômember at largeÕ has NO chapter affiliation.

NAME ________________________________________________________________                                                                                                                 
Home Phone (___) _______    Business Phone (___) _______    
SPOUSE __________________ 
CHILD. & AGE ________________________________ 
ADDRESS ___________________________ 
City_____________________ State. ___ ZIP _________
DATE ____________       e-mail address __________________________________

Individual - $36   
Family -  $54   
Student (18-21) - $18 
Youth (under 18) - $7.00

I wish to support the I.W.L.A. and it's conservation mission with this contribution $ __________ 

Make checks payable to: The Izaak Walton League of America, and mail to:
I.W.L.A. Inc.
707 Conservation Lane
Gaithersburg, MD 20878-2983

Alternatively, you may join online at www.iwla.org 
or contact Ron Waybrant
4905 Cresthill NE
Grand Rapids, MI  49525 
Tel: 616-361-1422 
E-mail: rcwaybrant@gmail.com