Phones   H ____________ W ____________ Cell __________

Email       ________________________

How did you hear about our club? ______________________________________

Enclosed is my check for $35 for individual/family membership (for the next 12 months) payable to: GRIZZLY PEAK FLYFISHERS

Mail to Grizzly Peak Fly Fishers

P.O. BOX 153

EL CERRITO, CA 94530

Membership is for 12 months starting upon receipt of membership fee and includes access to excellent speakers, fly fishing education programs, book and video/DVD library, special events, and The Irideus monthly newsletter.