Join the EIAA .....

1. Monthly Meetings
2. Subscription to the FinFlap Monthly Newsletter
3. Access to Members only sections of the FinFlap.com website ...

Join now ...

EIAA Membership Application
(An Educational & Social Society)

Print out this form and mail with your check to:

Eastern Iowa Aquarium Association
PO Box 2327
Cedar Rapids, IA 52406-2327

Date: ________________________

Member Name (s) ________________________

Address: ______________________________

________________________________________

Phone #:________________________________

E-mail Address__________________________...

Type of Membership Applied for:

_____ Family or Couple (if family, include children under 18 years of age) Fee $15.00/year
_____ Number of Family Members including yourself
_____ Age range of any children included in membership
__________________________________________
__________________________________________

____Individual: (18 years of age and over) Fee $10/year

Membership fees are due and payable before membership will be granted.

I hereby agree to abide by all rules of the Constitution and by-laws of the Eastern Iowa Aquarium Association.

Signature: ____________________________

The following information will help us gather information about our membership and help us plan monthly programs that will be interesting and helpful to our members.

How many aquariums and total gallons in your home?

_____ # Aquariums
_____ Total Gallons
_____ Marine Aquariums
_____ Freshwater Aquariums
_____ Other: ___________________________

Types of programs you would like to see at meetings:
________________________________________

________________________________________

________________________________________

Other hobby related interests:

________________________________________

________________________________________

________________________________________

Comments:

________________________________________

________________________________________

________________________________________
Questions? contact Marti at mjhhoran@msn.com