Membership Form
HFFA Membership Application
Name__________________________________________ New ( )
Street__________________________________________ Renewal ( )
City/State/Zip______________________ Phone_______________________
Occupation____________________________________
E-mail Address_________________________________
__Regular $25.00 __Contributing $30.00
__Life $250.00 __ Senior(over 65) $10.00
__Sustaining $50.00 __ Junior(under 16) $5.00
__HFFA Fishing Guide(with postage) $7.50 __ Pins $5.00
__HFFA Patch $5.00 __HFFA Decal $2.00
River maps free while supplies last
TOTAL___________
Please Make Checks Payable to HFFA
Thanks from the Membership committee
MEMBERSHIP APPLICATIONS SHOULD BE MAILED TO:
HFFA
c/o Eileen Bevans
8 Georges Hill Rd.
Southbury, Ct. 06488