Rogue Flyfishers Membership Application Form

Applying ___ or renewing ___ as(check one): Individual__($35.00); Family__($45.00), 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 ______-__________________
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__
Prefer using the Online Newsletter__ or by US Mail ?__
Amount enclosed _________________.

Please mail completed form and payment to:

Rogue Fly Fishers, PO Box 4637, Medford, Oregon 97501