Eastern Iowa Pond Society, Inc. Membership Application

To become a member of the Eastern Iowa Pond Society, complete this form, print it out, and mail it along with your dues to:
Eastern Iowa Pond Society, Inc.
206 N. 3rd St.
PO Box 148
Quasqueton, Iowa 52326

New Membership Renew Membership

Name:

Address:

Phone Number: E-mail Address:

Dues are $10.00 per calendar year per family
Make checks payable to Eastern Iowa Pond Society, Inc.

Newsletters will be mailed to all members.

Dues will be $10.00 per family, payable November of previous year and delinquent April 1st of each year. These dues entitle a member to participation in all activities and receive a monthly newsletter.