Membership Form - Fish Creek Atlantic Salmon Club, inc.
Please consider supporting our efforts; your
dues will help defray our costs of restoring Atlantic salmon to
their native waters.
The club is now offering a multi-level membership with prizes
given at the higher levels. The basic membership is now
$15. There are prizes awarded at the levels
of $50, $75 and $100.
Please indicate the level of membership desired.
Basic Level at $15 per year
Level 1 at $50 per year and receive a dozen proven flies
Level 2 at $75 per year and receive a wading staff
Level 3 at $100 per year and receive a Native American Flute
| Name |
|
| Street |
|
| City |
|
| State |
|
| Zip |
|
| Phone |
|
| Date | |
| Annual Membership Dues |
$ |
| Tax Deductible Donation |
$ |
| Total |
$ |
Fill (type) in the information, print and mail to
Fish Creek Atlantic Salmon Club, inc.
PO Box 67
Sylvan Beach, New York 13157