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Full Membership - $150.00 (Fishing Tackle Trades Only) |
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Associate Member - $100.00 (Non-Voting Status) |
NYFTTA MEMBERSHIP APPLICATION
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Full Membership - $150.00 (Fishing Tackle Trades Only) |
|
Associate Member - $100.00 (Non-Voting Status) |
| Name:_________________________________________ Title:_________________________________________ Company/Organization:______________________________ Street Address:___________________________________ City:_________________________ State:____________ Zip Code:__ __ __ __ __ - __ __ __ __ Work Phone:( ) __ __ __- __ __ __ __ (Ext.)__________ Fax Number:( ) __ __ __- __ __ __ __ E-mail Address:__________________________________ URL: http://www
__________________________________ |
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 Please specify the committee you wishadditional contributions to be applied: |
| ___ $10.00 | ___ Reef Replenishment Committee | |
| ___ $25.00 | ___ Sportfishing Education Center | |
| ___ $50.00 | ___ Rod and Reel Loaner Programs | |
| ___ $75.00 | ___ Scouting Partnership Committee | |
| ___ $100.00 | ___ Political Action | |
| ___ Other | ___ Fish-A-Thon Contest | |
| ___ "Kids" Fishing Projects |
Please print this application and send it along with your payment to:
NYFTTA * PO Box 3210 * Patchogue, NY 11772
