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SUNCOAST FLY FISHERS MEMBERSHIP APPLICATION/RENEWAL FORM

*Name __________________________________________Date _________ *Address ________________________________*City __________________ *State _______*Zip _______ *Telephone (____) ______________________

**E-Mail_______________________________

 

Suncoast Fly Fishers (SFF) For new and renewing members.  Membership categories (select one):

____ INDIVIDUAL MEMBERSHIP 1 year - $15

____ FAMILY MEMBERSHIP 1 year - $25

(includes primary member, spouse or cohabitating partner and children under 18 years of age)

____ BUSINESS MEMBERSHIP 1 year (includes monthly business card newsletter ad) ‐ $100

If a current member of FFF, enter your FFF number______________.

 

International Federation of Fly Fishers (IFFF) This is only for new members and is in addition to SFF membership.  If you are a current member of IFFF, please enter your IFFF number (above).  SFF is a charter club of IFFF, and membership in SFF requires membership in IFFF. Current members pay annual dues directly to IFFF.  If a new member, select one category only:

____ GENERAL MEMBERSHIP 1 year - $35

____ GENERAL MEMBERSHIP 3 year - $90

(General memberships include the primary member, spouse or cohabitating partner and children under 18 years of age)

____ SENIOR (age 65 or over; provide date of birth (mm/dd/yyyy) ___/____/_____ 1 year - $25

____ YOUTH (under age 22; provide date of birth (mm/dd/yyyy)  ___/____/______ 1 year - $20

Total amount due:  $__________.  Please make check payable to Suncoast Fly Fishers and submit with completed application at next meeting or mail to:  Suncoast Fly Fishers, P.O. Box 40821, St. Petersburg, FL  33743-0821.

 

Amount Received $______________.  Date Received _____/_____/______.  Received By____________________.

*This information is shown on the Membership List which is distributed to members only and is not used for commercial purposes.  If you do not desire this information disclosed to members, please so indicate.

**The monthly newsletter, “On the Fly,” is only distributed electronically.  If you do not provide an e-mail address, you can obtain the newsletter from our web site - http://www.suncoastflyfishers.com 

 If an e-mail address is provided, please select one of the following options:

_____ Publish my e-mail address on the Membership List which is distributed to members.

_____ Do not publish my e-mail address on the Membership List which is distributed to members.  Only use my e-mail for distribution of SFF newsletter and important club announcements.

NOTE:  AS A CONDITION OF CLUB MEMBERSHIP, ALL MEMBERS AGREE NOT TO SHARE MEMBER E-MAIL ADDRESSES OR USE THEM FOR ANY REASON (COMMERCIAL, POLITICAL, ETC.) OTHER THAN SFF CLUB RELATED CONTACTS.

(Rev. 4/26/2016)