Applying, or renewing as (check one): Individual__($30.00); Family__($35.00), or Junior__(under 18, $5.00) Member. (Note: New members joining Rogue Fly Fishers before June30th pay a full year dues; a new member joining after June 30th pay half category dues.) Dues must accompany your application.

With membership, you will receive a member’s patch, membership directory, name badge, and letter of further information and welcome. Monthly dinner meetings are the third Wednesday of the month with a Social Wet Fly from 6:00 to 7:00 p.m., and dinner with raffle, business, and program until usually a 9:00 p.m. adjournment. Renew in December for the following year.

Name: ____________________________________
If a family membership, List Family Member’s Names__________________________________________________________
Address ___________________________________
Best Contact Telephone Number: Area Code _______ Number ______-__________________
(2nd best)Number______-__________________
E-mail Address: ___________________________________________________________
If you do not want your e-mail address in the membership directory, Check here __
Are you a member of the Federation of Fly Fishers? Yes__No__ Are you retired? Yes__No__
Are you interested in, or want help in (check all as appropriate): Casting__ Fly Tying__ Fishing Techniques__ Water Knowledge__ Conservation Activities__ Fishing Partner__ Organizing Social Activity and Group Outings__ Do you have a drift boat? Yes__No__, lake boat? Yes__No__
other interests? __________________________________________________

Prefer receiving paperless Newsletter electronically __ (quickest receipt and saves the club money for other activities and uses) or by US Mail ?__
Amount enclosed _________________.

Please mail completed form and payment to: