Join the AIS YouthUSE THIS FORM TO JOIN Fill out and submit this form. Print this page. Mail the completed page with your dues.Name(Required) First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Birthdate of Youth(Required) MM slash DD slash YYYY Membership Dues(Required) Single Annual Without Bulletin $8.00 Single Annual With Bulletin $12.00New Member or Renewing?(Required) New Member Renewal Membership OtherFor other Membership Rates and dues, contact Pam Messer Mail CHECK and FORM To:Pam Messer AIS Membership Secretary PO Box 6 Huxley, IA 50124
