Welcome to the club!
To become a member please copy and paste this form, fill out the proper information,
print and submit registration payment of $10.00
Membership received after October 1 will have a renewal date of Janaury 1, 2011
Reel Women Reel Men
P.O. Box 502224
Indianapolis, IN 46250
REGISTRATION FORM:
Date:____________
Name:_____________________________________________
Address:______________________________________________________________
_______________________________________________________________
Phone number:__________________________________
Cell phone:_____________________________________
e-mail Address:_________________________________________________________
Fly Fishing Experience:____________________________________________________
Shooting Experience______________________________________________________
Birthdate:_____________________________
Reason for Joining:___________________________________________________________
____________________________________________________________
Looking forward to fishing and shooting with you! Please feel free to contact me via-e mail or cell phone. Once we receive your registration form your name will be added to our mailing list to receive weekly e-mail newsletters. Please notify me if you do not receive a newsletter.
Thank-you!
Patti Beasley
317.627.1164
Uniting Indiana's Fly Fishing Community~