Nishiki Koi Club  Membership Application

Single Membership

Joint Membership

Newsletter Only

New Membership

Renewal

Name:

Spouse:

Phone:

Address:

City:

_____________________ State:______________ Zip: __________
Email:

How did you learn about our club? Koi USA , Koi Show, Auction,
Member, who ________________________, Dealer, who ____________________________,
Pond Tour, Other ______________________________

How long have you been interested in Koi?

Do you have a pond? Yes, No

What size ?

Are you planning to build a pond?

Yes, No

When ?

Have you attended any of our annual- Shows, Auctions, Pond Tours

Which of the following areas would you like to learn more about? Pond Construction,
Filtration, Nutrition, Medication, Koi Photography, Health, Koi Selection,
Showing, Garden Design / Landscaping, Water Quality, Breeding,
Other ____________

Of these areas, in which do you feel most knowledgeable?

Of these areas, in which do you feel least knowledgeable?

Our meetings are potlucks, held the 2nd Saturday of the month @ 1pm Would you be willing to host a monthly meeting?
Anytime, Maybe, No, my home is not conducive to hold a meeting

Our Club is run by volunteers and can only exist, if members are willing to help each other by volunteering. Often times no special koi knowledge is required. Which areas or special events can you help?  Special Events have pre-event committees and need volunteers the day of the event.   Please check which committees you are willing to help.  
Koi Show,      Pond Tour,    Auction,    Newsletter,     Hospitality,    Board Member,
Hosting a meeting, Website, Raffle, Marketing/Advertising, Other_________   

 
Occupation:

Spouse's Occupation:

Do you have immediate questions or problems that you need assistance with? Yes, No

______________________________________________________________________

Comments:

 

 

 
The one year membership includes a discounted subscription to Koi USA and a name badge.

(Joint membership is 2 members from the same household and includes 2 name badges)

New memberships Single $62, Joint $74 and Renewals are $30/year.

Newsletter Only $10/year 

Send application and check to:

Nishiki Koi Club 
5675 Greenbriar Drive 
Yorba Linda, Ca 92887

Or contact:      Sherrie Cummiskey (714) 970-3862 or koikrazysherrie@sbcglobal.net