Vintage

(print this form out by clicking the small icon to the right)

FRAA MEMBERSHIP APPLICATION FORM

Please print your name and mailing address clearly.

NAME : __________________________________________

ADDRESS: ________________________________________

CITY: ___________________ STATE: ____ ZIP: _________

Optional information

Phone Home _______________ Work ________________

Email _________________________________________

Check if a New Member _____ or a Renewal _____

Type of Membership

___Regular $25
___Family $30
___Junior (under 18) $15
___Contributory $50
___Sustaining $75
___Lifetime $200

Type of fishing done
Fly,Spin,Saltwater,Etc.

______________________

I would like to help with:

___Education
___Membership
___Environment
___Promotions
___Legislation
___Program
___Other (please explain)

All memberships, except Lifetime, are for one year and dues are payable April 1st each year. New members first renewal dues are payable in April of the following year. Please make check payable to FRAA.

Mail application to:
FRAA
PO Box 177
New Hartford CT 06057