MEMBERSHIP
APPLICATION
Initial ______ Renewal______
Regular Member
$ 25.00
Family Membership
$ 30.00
Junior Member (12-17)
$ 12.00
Senior Member (62 and over)
$ 12.00
Senior Family (either spouse 62 or over) $
15.00
Life Membership
$200.00
For family membership please list the names of
spouse and immediate family members (ages 12 or over) that you want to
include as active voting members of Fly Fishers of Idaho
Name
__________________________Spouse______________________
Address___________________________________________________
City ______________________State ___________ZIP_____________
Home phone ________________Cell or Work ____________________
Email____________________________________________________
Birthday ____________________Spouse________________________
Please number subjects you are interested in 1 thru 6 in order to help
us plan meetings
Conservation ______ Fly Tying ________ Fly Casting
_______
Float Tubing _______Entomology ______ Rod Building ______
Other _____________________________________
I would consider serving on the following committees, please check each
Conservation ____ Education & Programs ____ Fund Raising________
Banquet _______ Membership _______Activities _______
Communication / Newsletter______
Signature __________________________Date
_________________