PLEASE PRINT THIS FORM AND MAIL IT TO THE ADDRESS BELOW

SCWA Membership Application

Please sign me up as a member!

Name on Card______________________________________________

Amount Enclosed $__________

__Visa  __MasterCard  __American Express  __Discover  __Check

Card Number:__________________________________ Exp. Date: ________

$10 Woodie Membership (up to 16 years of age)Hat pin, decal & SCWA duck stamp.
$25 Regular Membership SCWA magazine, decal.
$50 Contributing Membership SCWA magazine, decal, hat pin, SCWA duck stamp poster.
$100 Donor Membership SCWA magazine, donor decal, hat, hat pin, and SCWA duck stamp poster.
$250 Sponsor Membership SCWA sponsor print, hat, hat pin, magazine, sponsor decal, local chapter banquets couples ticket, & invitation to local sponsor events.
Life Membership & Heritage Woodie Memberships Call the SCWA office for details. (803)452-6001

Name: _____________________________________________________
Signature: _____________________________________________________
Address: _____________________________________________________
City: _____________________________________________________
State: _____________________________________________________
Zip: _____________________________________________________
County: _____________________________________________________
Phone: _____________________________________________________

The amount of your donation above the retail value of items received is tax deductible.

Retail value of memberships are:
Regular $5; Contributing $16; Donor $24; Sponsor $102
fax this application to (803) 452-6032 or call the SCWA office for details (803) 452-6001.

Mailing Address
South Carolina Waterfowl Association
9833 Old River Road
Pinewood, S.C. 29125