Date of Application | ||
First | Last | Phone |
Address | ||
City | State | Zip |
e-mail address (required!) | ||
New or Renewal? | ||
Single $15.00 ____ | Family $20.00 ____ | Senior (60+)/Junior (-18) $10.00 ____ |
How did you hear about us? (Internet search, another website, a forum, flyer in fish store, another club, friend, etc. If it’s a forum or website, which one?)
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Please list your interests and possible meeting topics you would like to see at the bottom or the back of this form.
Please print send this form with payment (checks payable to GSAS) to:
GSAS c/o Roy Slettevold
15520 SE 175th Ct
Renton, WA 98058