Name:       

Organization: 

Address:    City:         

State:          County:   

Zip Code:   Phone #: 

E-mail:      

Number of group members:  New Renewal

Membership:   $1.50 per member up to $750.00.
 ***  Minimum $25.00 for clubs with membership under 16 *** 
 

Payment Type: VisaMaster Card Card #:

Expiration Date(MM/YY): 

Mail checks to:        Illinois Federation for Outdoor Resources
                                    P.O. Box 5
                                    Godfrey, IL  62035

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