Desert Paddler's Club	Application for Membership
Tempe, Arizona	for Desert Paddler's and ACA

Print Name Date

Address

City, State, Zip

Phone (H) (W) (C)

E-Mail (Print Clearly)

Signature

Please indicate all areas of interest and circle your experience level:

WW CANOE	Novice*	Beginner	Intermediate	Advanced Expert
WW KAYAK	Novice	Beginner	Intermediate	Advanced Expert
WW RAFT	Novice	Beginner	Intermediate	Advanced Expert
SEA KAYAK	Novice	Beginner	Intermediate	Advanced Expert
INFLATABLE	Novice	Beginner	Intermediate	Advanced Expert
OTHER	Novice	Beginner	Intermediate	Advanced Expert

*No previous instruction or experience

Membership Fees (select one)

$30.00 Single Membership

$45.00 Family Membership

Membership is valid for 1 YEAR from the date of joining and includes a 1-YEAR membership in the American Canoe Association (ACA), including bi-monthly issues of Paddler Magazine and the ACA Newsletter. You can pay with a check by mail, or you can call Arizona Canoe and Kayak and pay with a credit card.

Please complete the application and deliver it with membership fees to:
	Arizona Canoe and Kayak
	107 E Broadway Rd
	Tempe, AZ 85282

Have questions? Contact Peter Zwagerman at 480-755-1924 or toll-free at 866-925-7257.