Our goal is to provide conservation, hunter education, and carry out related projects.

Date: _____________ / ______ /2012

Type: Renewal or New

Are you an NRA Member?: Yes or No (please circle)

NRA #: _____________________________

Name: ______________________________________________

Address: ____________________________________________

City: _____________________State:__________ZIP:_________

Phone: ______________________

Email: ___________________________________

Type of Membership:

• Individual ($25.00)
• Family ($35.00)
• Youth members are still $5.00 under 18

Signature: _____________________________________

Please send membership applications to:
NWWC
P.O. Box 219,
Mercer, WI 54547