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Membership Form
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Cedar Valley Walleye Club Membership Form Name :__________________________________ Address: ______________________________________ City: __________________________________________ State__________________________________________ Zip Code_______________________________________ Phone: _________________________________________ Cell Phone: ______________________________________ E-Mail Address: __________________________________ todays date __ __ ____ Family For $25.00 Waiver We, the undersigned applicant do hereby release and hold harmless The Cedar Valley Walleye Club, and any persons, property owners, boat owners, boat operators or sponsors, assisting or participating any and all Tournaments/Expo, from any and all liability or damages for injury to the undersigned applicant and further agree to reimburse any of the aforementioned parties for the cost of damages paid as a result of any action by the undersigned applicant or any other person on said applicant behalf. Please Sign Here_________________________________________________________________ please hit the summit button to summit your membership form. please send payment to : Cedar Valley Walleye Club 4711 university ave. Cedar Falls, IA 50613
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