Women Outdoors Membership

All women are welcome to join Women Outdoors. To join, please print this page, fill out the information, mail it with your check payable to Women Outdoors, Inc. to:

                        WOMEN OUTDOORS INC.     
                        55 Talbot Avenue        
                        Medford, MA 02155       

NAME ______________________________________ PHONE(_____)___________________

E-Mail Address ____________________________________________________________
  
SECOND NAME(if joint membership) __________________________________________

SECOND E-MAIL ADDRESS _____________________________________________________
           
MAILING ADDRESS __________________________________________________________

________________________________________________________ ZIP ______________
   
Which region do you wish to be affiliated with? (See the Active Regions

page for choices and indicate the specific region.) ________________________

Check here if you wish to remain unaffiliated with a specific region. (__)

Check here if you wish to form a region where none now exists. (__)

Dues:     
__ $25-$35 1-Year-Regular/Individual
__ $45-$55 1-Year Joint (2 members at the same address)
__ $50-$70 2-Year-Regular/Individual
__ $90-$110 2-Year-Joint (2 members at the same address)
__ $15 1-Year-Special (over 65, under 18)
__ $ 75  1-Year-Organization 
__ $30 2-Year-Special (over 65, under 18)
__ $150  2-Year-Organization
__ $500 Lifetime
Check if you are a: (__) new member    (__) renewing member

Amount enclosed*:(please consider an additional contribution) _______________

The above membership is a gift from:

NAME _______________________________________________________________________

ADDRESS ____________________________________________________________________
(A card will be sent in your name)
                                 *make check payable to Women Outdoors, Inc.
Membership questions should be sent to Membership@Women-Outdoors.org.   

Last Updated March 2007