Central Wisconsin Archaeology Center (CWAC)

Regional Archaeology Center 4

Central Wisconsin Archaeological Society

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MEMBERSHIP APPLICATION / RENEWAL FORM

Membership Categories
(check appropriate categories)
_____Student:      $5.00
_____Individual: $10.00
_____Family:      $15.00

Additional donations and contributions are also welcome. Total enclosed:______

Please print or type the following information:

Name(s):_____________________________________________
Address:_____________________________________________
City/State/Zip code_____________________________________

Optional Information:

Telephone Numbers:
Home:_____________________ Work:_____________________
Email:________________________________________________

Send your completed form and check (made out to Central Wisconsin Archaeological Society) to:

CWAS Treasurer
c/o Peter Dassow
2601 Forest Drive, Lot 68-Sec. B
Plover, WI 54467

Membership fees are due at the September meeting each year.
Membership cards will be distributed after payment of dues.