Jersey Shore Trout Unlimited

Membership Application/Renewal Form

Chapter Activity Fee: $20
You may bring your activity fee to the next meeting, or mail it to:
Jersey Shore Chapter of Trout Unlimited
Attn: Membership
P.O. Box 781
Oakhurst, NJ 07755
(Check payable to "JSCTU")

Note: You do not need to join to attend our meetings.

FirstName (*)

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Middle Initial

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Last Name (*)

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Street Address 1 (*)

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Street Address 2

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City (*)

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State (*)
ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
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Zip Code (*)

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Primary Phone No. (555-555-5555) (*)

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Primary Phone Type
homeworkcellother
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Secondary Phone No. (555-555-5555)

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Secondary Phone Type
cellworkhomeother
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Email Address (*)

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Please select one of the following: (*)
Yes, I want my name, address, and phone number listed in the Membership Directory
No, I do not want my name, address, and phone number listed in the Membership Directory

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Please indicate your interest in any of the following Jersey Shore Trout Unlimited activities:
Catskill Fly Fishing Trips
Oswego/Salmon River Steelhead Fishing Trips
Local Fly Fishing One-Day Trips
Fly-Tying Demonstrations
Participate in Stream Cleanup Programs
Serve on Membership Committee
Serve on Program Committee (banquets, fishing shows, etc.)
Serve on Water Project Committee
Serve on Communications Committee (Newsletter)
Serve on Fund Raising Committee
Be a Presenter or Serve on Speaker Program Committee
Maintain Video Library
Serve on Annual Raffle Committee

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Additional comments?

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