WE NEED MORE MEMBERS - PLEASE PRINT THIS FORM AND SEND IT TO NAGS HEAD SURF FISHING CLUB TO BECOME A MEMBER

NAME________________________________________DATE____________________

ADDRESS______________________________________________________________

CITY_____________________________STATE___________ZIP__________________

SPONSOR__________________________________(not required) 

MEMBERSHIP DUES $10.00 FIRST YEAR

                                         $15.00 ANNUALLY THEREAFTER

AMOUNT ENCLOSED ______________________________

MAIL TO:  NAGS HEAD SURFFISHING CLUB

                     PO BOX 181

                     NAGS HEAD,  NC  27959