RFA Printable Membership Form

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
PO Box 3080
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

If paying by credit card:

(check one) Visa__ Mastercard__ American Express__

Expiration Date:_____/_____/_____

Card Number:_______________________________________

Signature:__________________________________________