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Name * Street * City * State * Zipcode * Phone Number * Email * DOB *

Membership Level * Select an option:*Full ($40.00 USD)Supporting ($20.00 USD) *I affirm that I am 18 years of age or older

(*Full memberships - Ladies 18 years of age or older)

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How did you hear about WDLNH? * What motivated you to join WDLNH? *

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I hereby attest that I am not subject to any state or federal legal restriction that prevents me from lawfully possessing firearms. * Signature * Today's Date *

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Parental/guardian approval required for children under 18 years of age.

Membership dues are non-refundable and non-transferable.

Note: Membership is subject to approval of WDL's Board of Directors

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