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Membership Application


Use the print button above and to the right to print a blank form.  Complete the from and mail it to the address given below.  PLEASE PRINT CLEARLY!!!


ADULT MEMBER:

 

JUNIOR & YOUTH MEMBERS:
(Youth 0-12, Junior 13-16)

FIRST YEAR DUES 

 

Dues ……………..

free

(Includes cost of numbered license plate.)

 

(Must be renewed each year)

If join in January through June………

$25.00

 

 

If join in July through December……….

35.00

 

LIFETIME MEMBER:

 

(includes remainder of current year and dues for the year following your application.)  

 

(One Time Payment)……….

$350.00

 

 

 

 

Annual Renewal*………………………

25.00

 

LICENSE PLATE:

 

* All renewals will be due in Dec. after 1 year.

 

(If mailed to you.)…………..

Replacement license plate….

  (price subject to change)

$10.00

$15.00


Application for membership shall be accompanied by first year dues.  Adult and life membership entitles member to license plate and decal.  Junior members receive a decal.  I have read and agree with the purpose of the Cape Hatteras Anglers Club.  If you have not read the statement of purpose, click here.  I hereby make application for membership.


Name   

Address   

City            State Zip

Phone/Day         Phone/Night

E-mail      

Would you like to receive your bulletin via e-mail?  YES     NO

Date of birth      Amount Submitted  

(Required for all junior member applications) 

 

Signature of Applicant     Date   

 

Sponsor (leave blank if none)      

 

 

Please mail to:

 

Cape Hatteras Anglers Club
P.O. Box 145

Buxton, NC   27920