Reel Women-Reel Men of Indianapolis

Presenters of Indiana On The Fly~

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~