Membership Form

Please complete the following information for our Membership database.

Once the form is complete, and you send, you wiill receive an automated confirmation message.

A Volunteer Ice Alaska Member will email you within one business day, and you will receive an invoice for your $25 Membership

First Name:	*	Last Name :*
Upon receipt of your membership application, we will email you an invoice via our Square account. You may pay by credit card through our Square account via the link on your invoice. If you prefer to pay by Check, please mail your payment to Ice Alaska Attn: Steph Clymer, Treasurer 3510 International Street, Fairbanks, AK 99701
Street Address:	*

Town / City:	*	State / Prov :*
Postal / Zip Code:	*	Country :
Email address:
Work phone number:		Fax number:
Do you wish to volunteer?		Already Volunteer Yes No
Comment: What committee do you work on or would like to work on. How can we improve?