WRRC Membership form
Fill out on computer and print or print off and fill out by hand.
Name:
Street:
City:
State: Zip:
Email:
Phone:
______
New Renewal
Individual - $12 Couple (or parent\child) - $20 Family - $25
Family Members included in membership:
Name
Email
Couple and family membership must have one street address.
Please send your completed form with check payable to Wabash River Runner's Club and mail to: Wabash River Runner's Club PO Box 2493 West Lafayette, IN 47996-2493 CLUB USE ONLY Expiration Date:________