SUPPORTING MEMBERSHIP APPLICATION

           

          Supporting membership in the Tennessee Outdoor Writers Association is open to individuals, businesses and organizations who share our interests in the outdoors and have a desire to share in and support TOWA’s ideals, programs and activities.

            Annual dues are $100.

 

 

Applicant _____________________________________________________________

 

Address, including ZIP code _____________________________________________

 

____________________________________________________________

 

Telephone __________________   E-mail address ________________________

 

Person to be contacted __________________________________________________

 

Telephone ______________________  E-Mail Address _______________________

 

Do you have a web site? ________  Its address?_____________________________

 

Would you like TOWA to establish a link from its web site to your’s?  _________

 

            Send completed application form and payment for annual dues (or billing instructions, including purchase order number if applicable) to:

 

            Tennessee Outdoor Writers Association

            C/O Max Moss

            105 Creekview Drive

            Pleasant View, TN 37146

 

            Questions? Contact Max Moss at mmenterprises1@charter.net or (615) 746-5914.

 

                                                                      *******

 

Date Received _________  Approved By __________   Date Approved __________