Quality Time Fishing Club

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Registration

Quality Time Fishing Club
REGISTRATION CARD

Annual Dues (free for member's children and grandchildren ages 16 and under)
$20 each person

All members are required to purchase a club T-shirt

*Membership Category
Individual
Couple
*Registration Year
2007 2008
2009 2010
*Participant’s Name: Date of Birth: mm/dd//yy *Phone: (H) and (C) *Address: *City: *State : *Zip Code : Email Address : T-Shirt Size
Complete section below for other family members.

Name

Sex

Relationship

Birth date

T-shirt size

Spouse

Family Members: Additional Members : Additional Family : Individuals must press "Submit" button in order to submit information.

Learn to Fish, Eat Forever

Name	Sex	Relationship	Birth date	T-shirt size
		Spouse