Membership

Please print, fill out, and mail the form below to:

Yahara Fishing Club Membership
P.O. Box 259803  Madison, WI 53704.

To activate your membership either send payment to the address above or pay at a meeting.

Annual dues, from January 1 to December 31:
Individual ………………$35
Family……………………$45
Student………………….$10
Youth Member……….. Free with other paid membership

Please print  * Essential

Name * ____________________________________________________

If family/youth member, additional name(s) ______________________

Phone * ______ – ______ – __________

Street Address  ___________________________________

State ____________________     Zip   ________________

Email * __________________________@_________________________