MWSA Membership Application

(Sorry, we're not quite ready to do this online, but please print this form and mail it in!)

Be a part of MWSA--join/renew today!

Cost: $12 individual, $15 family per year (make checks payable to MWSA).  DEADLINE is MAY 1st!  Late fee is $5!

Send memberships to:

Dave Kaldor
7245 PINEVIEW LANE N.
MAPLE GROVE MN. 55369

Name (last, first)______________________________________________________

Address ____________________________________________________________

City ______________________________ State ______ Zip ___________________

Home Phone ( )___________________ AWSA #____________________________

E-Mail Address________________________________________________________

Delivery preference:  e-mail delivery _____ US Mail______

Family memberships include spouses and all children 18 and under

Family members' names and AWSA #'s:

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

Questions?  Contact Dave Kaldor:  (763) 424-2776 or This e-mail address is being protected from spambots. You need JavaScript enabled to view it