MEMBERSHIP APPLICATION

NAME_____________________________________________________

SPOUSE’S NAME___________________________________________

ADDRESS__________________________________________________

CITY______________________________________________________

STATE_______________________ZIP CODE_____________________

HOME PHONE (_______)_____________________________________

BUSINESS PHONE (_______)_________________________________

CELL PHONE (_______)_____________________________________

E-MAIL ADDRESS__________________________________________

Date: _______________________

Please check one of the following:  __________I am a NEW MEMBER!

                                                     ___________I am RENEWING my membership.

MEMBERSHIP LEVEL:

1.  Regular (adult):  $25.00   ________________

2.  Family:                $35.00   ________________

3.  Youth/Student:  $10.00  _______________

     (Under 18)

                          Total amount: _______________

Annual dues are renewable each January. 

Please make check payable to:  Red River Fly Fishers

Mail to:  Red River Fly Fishers, P.O. Box 1931, Sherman, TX  75091