QAJAQ USA Membership Application
We welcome members outside of the US, and overseas.
To Pay by Check: Please type in your information, print page, and mail form w/payment.
mail to: QAJAQ USA, 88 Mason Cove Ln, Cushing, ME 04563

To Pay Online via PayPal, please do not fill out out this form, and visit http://www.qajaqusa.org/QUSA/membership_online.html .
Name:  
Street:  
City:       State:     Zip:
Phone:       
E-mail:  

Membership:     New Member       Renewal                
Please make check or money-order, in U.S. Funds, payable to Qajaq USA, Inc.
Individual $35 $35   Family $60    Patron $150    Lifetime $500

Patron and Lifetime members are recognized in newsletter and website (or let us know if you would prefer to be anonymous). Included with membership: Individual (two logo stickers). Family (two logo stickers + embroidered patch). Patron (two logo stickers + embroidered patch + Qajaq USA T-shirt + tan Qajaq USA hat + any one item from Qajaq USA store except Skinboats of Greenland) Lifetime (two logo stickers + embroidered patch + Qajaq USA T-shirt + tan Qajaq USA hat + any one item from Qajaq USA store).

Qajaq USA silk screened cotton T-shirts are available for $15 each.  
(One shirt is complementary with Sustaining and Patron memberships)

Quantity/Size: Small  Medium Large XtraLarge

I'd Like to Help with: Events Newsletter Membership Publicity

I am Interested In: Kayak Building Paddle Making Rolling & Other skills
Instruction Racing & Competition Meeting Greenland-style paddlers in my area

Please tell us about yourself. Comments, other interests, or short bio.
 (Information entered past the bottom of the window will not print):

Thank You for your interest and support of Qajaq USA!  www.qajaqusa.org