North Idaho Koi Keepers

Membership Form

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North Idaho Koi Keepers (NIKK)

Membership Application/Information Update

 

Name: ____________________________________________________

Spouse or other: ____________________________________________

Mailing Address: ____________________________________________

City: _____________________________State: _______Zip: _________

Telephone: ________________ e-mail: __________________________

ANNUAL DUES

January 1 - December 31

 

Annual Dues (family):  $25.00

 

Make check payable to NIKK

Mail to:        North Idaho Koi Keepers

                     E. 3833 Wildflower Lane

                     Hayden Lake, ID  83835

For additional information, call Gene at 208-762-5749 or Dan at 509-928-9209

Or email: nikoikeepers@aol.com or phyllisemail@aol.com