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Kansas Whitewater Association

Membership Form

Please fill out the following form and submit. On the following page you will have the option of paying for your membership.  If you have any questions about this membership application, please email shawn@kansaswhitewater.org

Membership Options (payment made on next page)

  • $20.00 Single Membership

  • $25.00 Family Membership

  • $45.00 Associate/Business Membership

  • $200.00 Lifetime Membership


Member Information
First name
 Family Member's names
Last name
  
Address
City
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Zip code
 Email
Home Phone
  		 Cell Phone
  
Work Phone
  		  
KWA Newsletter by email
Emergency Contact Information
Contact  name
  
Contact address
City
 State
Zip code
  
Phone
  

(Payment made on next page after submit)
 

 
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News:KWA Awarded 2006 American Whitewater/Clif Bar "Flowing Rivers" grant
Newsletter: New Fall 2006 Newsletter Online
 
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