Phones   H ____________ W ____________ Cell __________

Email       ________________________

How did you hear about our club? ______________________________________

Enclosed is my check for $3 for each month until this January 1 for individual/family membership, up to $36 for an entire year starting in January, payable to: GRIZZLY PEAK FLYFISHERS

Mail to Grizzly Peak Fly Fishers

P.O. BOX 153

EL CERRITO, CA 94530

Membership is prorated for the rest of the year 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.