West Denver Trout Unlimited Membership Application: Chapter #130

Please: Print and use this application to join Trout Unlimited, or to renew your membership.
If you do this through the West Denver Chapter, more benefits accrue to the Chapter.
   
Yes! I want to JOIN TU or RENEW (CIRCLE ONE) my membership in the West Denver Chapter
of Trout Unlimited.

Please print legibly:

Name:   _______________________________________________________________________

Address Line 1:   ________________________________________________________________

Address Line 2:   ________________________________________________________________

City: __________________________ State: ______ Zip: __________ Phone: __________________

e-mail: _________________________________________

Membership Number: _________________________ (if renewing)

CIRCLE Category of Membership Wanted:
Regular ($35) Individual Life ($1000) Student- under 18 ($20)  
Family ($50) Family Life ($1100) Senior (62+) ($20) 1st time membership $17.50*
Sponsor ($100) Business ($200) Conservator ($250)
* previously expired or archived members do not qualify for 1st time discount

Payment Enclosed..... Check for $ ________ dollars
(note: Please make your check payable to Trout Unlimited : do NOT mail cash!),
Or
by Credit Card (Circle one) Visa, Mastercard, American Express
Bill my Credit Card for $ _____________________
Credit Card No. ____________________________________________ Expire _____________________
Name as it appears on the Credit Card ________________________________________________

Signature: ______________________________
WDTU sponsoring member (optional): _________________________________________________

Mail to:
Jackie Edwards, WDTU Membership Director (303-278-2282 or e-mail jorgedwards@aol.com)
385 Flora Way
Golden, CO 80401

Feel Free to clip the following before mailing
Note: For New Members Only - Introductory rate of $17.50. This offer is not available for previously expired or archived members.
Some members have been experiencing problems upon initiating or renewing membership in our chapter ( #130) in that they are being arbitrarily moved to another chapter without their approval. National TU is working the issue in their computer system. If you experience being listed in another chapter when you prefer to be in our West Denver Chapter (Chapter # 130) please contact Jackie at 303-278-2282 or e-mail jorgedwards@aol.com. You can verify your chapter number on your membership card or other mail your receive from Trout Unlimited. Using your membership number and your name you can also validate the chapter number (#130) online at TU Membership Services. While you are there review your mailing and e-mail address, also.
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Though using this form definitely assures assignment to West Denver TU one can join using the national web site and a credit card by clicking on one of the following, use 130 as chapter number:
Renewing Members here
-/- 1st Time membership here