Wichita AMS/NWA Membership Form
Online Form - Please Print

Name: _________________________
Address: _________________________
City: _________________________ State: ____________ Zip: ____________
Phone: _________________________
E-Mail: _________________________

What type of Meteorology-related activities are you involved in:




Bring this application to the next Chapter Meeting or
Mail application to:

Wichita NWA/AMS Chapter
ATTN: Jerilyn Billings Wright
2142 S. Tyler Road
Wichita, Kansas 67209