Print out this form and mail it to our tournament chairman,
along with $20.00 club dues to:
Herz, Regina
441 Hackney Pl.
Brigantine, NJ 08203
Please provide the
following contact information:
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Name |
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Street Address |
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Address (cont.) |
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City |
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State/Province |
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Zip/Postal Code |
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Date of Birth |
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Work Phone |
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Home Phone |
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Who Referred You |
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Will you be an active working member? |
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Will you take part in Fishing Tournaments? |
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Are you now, or have you ever been, a member of any other fishing club? |
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Are you a surf fishing woman-or- Are you interested in learning to surf fish? |
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Comments |
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