RFA MEMBERSHIP MAIL FORM

Please print out this form, enclose a check or bank/postal money order payable to
"The Recreational Fishing Alliance" for the amount of your membership donation and mail it to...

Recreational Fishing Alliance Membership
Attn: Toni Stefano
PO Box 308
New Gretna, NJ 08224

NAME _____________________________________________

ADDRESS __________________________________________

CITY _______________ STATE ______ ZIP CODE _________

EMAIL ADDRESS ________________________________

DAYTIME PHONE _______________________________

NIGHTTIME PHONE _____________________________

Already an RFA Member and wish to renew?   __Yes   __No

If yes, enter your member number: ________________________

Please check the amount of the membership donation you are submiting:
__ $35 - 1 Year National Membership
__ $90 - 3 Year National Membership

"X" here____ if you want to receive your free RFA "Making Waves" newsletter.

If paying by credit card:

(check one)   Visa__   Mastercard__   American Express__

Expiration Date:_____/_____/_____

Card Number:_______________________________________

Signature:__________________________________________