Membership Application

Please provide the information requested below. Membership dues are $20 annually, which includes 10 issues of the newsletter.

Send dues payment to:
Charles Lott
120 Byrnes Drive
Waterloo, IA 50701

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question