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EIAA Membership Information and BenefitsJoin the EIAA ..... 1. Monthly Meetings Join now ... EIAA Membership Application Print out this form and mail with your check to: Eastern Iowa Aquarium Association 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 ____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 Types of programs you would like to see at meetings: ________________________________________ ________________________________________ Other hobby related interests: ________________________________________ ________________________________________ ________________________________________ Comments: ________________________________________ ________________________________________ ________________________________________ |