CWF MEMBERSHIP Application for Calendar Year (January - December)

When you use PayPal, a $1.00 fee will be added to your membership payment.

* Name:

* Today's Date

* Address:

* City:

* State:

* Zip:

Home Phone:

Work Phone:

Mobile Phone:

Email:

* Membership Type:

	New Member	Returning Member
Membership Type

First Membership Year

I would like to serve on the following committees:

	Choose as many as you would like
Programs
Special Projects
Public Events
Outreach/PR
Newsletter
Raffles/Funding
Trips
Technology

* FlyFishing Ability:

	Beginner	Intermediate	Advanced	Professional
Fishing Ability

* Newsletter Delivery Method

	Online	Mail
Delivery Method

The Club does not sell, trade or give away members’ contact information to outside vendors. Rosters are printed for members‘ personal use only.

* Indicates Response Required