Text Box: IDHA MEMBERSHIP APPLICATION

Please print clearly


Today’s date_______________________

Name_____________________________

Address___________________________

City_________________State_________

Zip_______________________________

Phone_____________________________

County ____________________________
Date of Birth_______________________

Please Circle Type of Membership

Full Voting Member - $20.00 

Family - $30.00

Senior Citizen - $10.00 (62 and over)

Youth - $10.00 (17 and under)

Renewals enter member number below
_______________________________

Send your completed
 applications and dues to: 

IDHA
Box 234
Beech Grove, IN 46107

The IDHA is a member of these organizations:
Hunters Against Hunger
 Hoosier Record Book
Hoosier Conservation Alliance 
TIP Program
Hoosier Deer Classic 
Sportsman Roundtable
Indiana Wildlife Legislative Fund

Help protect our hunting heritage for future generations.  Join the IDHA Today!