Fredericton
Membership Application
Please complete the following and Forward
to:
Name _________________________________________
Address________________________________________
Postal Code ____________________________________
Telephone (home)____________Work ______________
Please Print
List names to who cards should be issued
Name: _________________ Relationship____________ DOB_________
Name: _________________ Relationship____________ DOB_________
Type of membership *****
Please check one *****
Single Membership
$25.00 enclosed
_____
Double Membership
$40.00 enclosed_______
Additional Family members $10.00 ea. enclosed ______
Any help you
can give us at any of our functions would be greatly appreciated, ie: Youth Tournament, Adopt- A- Stream, Fund Raising,
etc.
Signature _____________________________
F.J. Wilson
President, Fredericton Fish and Game Association http://www.frederictonfishandgame.org/