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West Virginia Wildwater Association
New Membership Application

So you've decided to join the West Virginia Wildwater Association (WVWA)? That's great, welcome! Just complete the steps below:

1. Complete this application & click on the "Next" button at the bottom.
2. Then, based on your Payment Method selection below, you will either see a page to pay online or a page with instructions for mailing in your check.

OR, If you prefer, Click here to view a printable copy of the application. Then fill our the form, print it and mail it with a check for your dues to the address at the bottom of the form.

Membership Type & Payment Method
   Select membership type. The payment method you select here will determine the page you go to next.
Membership type:   $20 - Online newsletters   $30 - Mailed newsletters 
Payment method:   Online Payment   Check via Mail 
Member Names
   Please fill in the names of the members in your household. (Adults first/last & kids on the additional line.)
Last Name: 
First Name(s):  
Additional Name(s)
Contact Information
Address: 
Address (2nd line):  
City: ,   State:     Zip: 
   Telephone Numbers: (XXX-XXX-XXXX and separate multiple telephone numbers with commas)
Home:     Work:
Cell:
Email Addresses For Member Access
Email Addresses Names (first & last)
Additional Information
Where did you hear about us?  
Briefly describe your paddling experience:
Type of boat:   Kayak   Decked Canoe   Open Canoe   Raft   Other 
Years of experience:     Class of water run comfortably (I-VI): 
Rivers run:  
Check here  if this info is not to be released to conservation & river groups for special mailings & fundraisers.
Enter the letters shown in this image (use all upper case):   
 

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