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Wilderness Education Association Wilderness Education Association Wilderness Education Association

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WEA

Wilderness Education Association
National Office
Eigenmann Hall, 029
1900 E. 10th Street
Bloomington, IN 47406
Phone: 812.855.4095


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Wilderness Education Association Membership Application

 
Section 1: User Information
 First Name*  
 Last Name*  
 Initials  
 Company*  
 Position Title  
 Mailing Address*  
 City*  
 State*  
 Zip Code*  
 Country  
 Work Phone  
 Home Phone*  
 Mobile Phone  
 E-mail*  
 User Name*  
 Password*
confirm password
 
 
Section 2: Membership Information
 Member ID#  
 Are you an Instructor in the IROL?*   
  Yes
No
I don't know
 
 
Section 3: Membership Type
 Membership Type*
$1,500.00 - Lifetime
$15.00 - Introductory Membership
$35.00 - Premium Membership
$85.00 - IROL Membership
$250.00 - Organization
 
 
Section 4: Payment
 Payment Method*
    Credit card
    Check
    Send invoice
 
 

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