1st WI MUSKIES, INC. "On-Line" membership application form
Please print this form, fill-in the appropriate spaces, then mail with a check or money order payable to;
"MUSKIES, INC."

send to:
MUSKIES, INC.
P.O. BOX 122
Chippewa Falls, WI 54729

Name_____________________________________________________________

Address___________________________________________________________

City/State___________________________________zip code__________

Phone(___) - _______________ Date of birth ______________

Check one: ___ New Member ___ Renewal

IF For Renewal: My Membership #_________________ Expiration Date_______________