Mid-South Fly Fishers

Membership Application Form

PRINT OUT THIS FORM AND MAIL TO:

Mid-South Fly Fishers
4728 Spottswood
Box 223
Memphis, TN 38117

Make checks payable to MSFF

 

Name:______________________________________________________________

Spouse’s Name: ______________________________________________________

Children’s Name:______________________________________________________

____________________________________________________________________

Address:_____________________________________________________________

City: ___________________________________State:_____ Zip: _____________

Home Phone:_______________________

Business Phone: ____________________

Email Address:__________________________________________

Check one of the following membership types

1 year Individual $30.00 1 year Family $35.00
1 year Senior (over 65) $20.00 1 year Youth (under 16) $15.00
Individual Life $300.00 Family Life $350.00
1 year Sponsor $45.00