Membership Application Form
Date: _____________________
Name: _______________________________________________
Address:

____________________________________________________________

____________________________________________________________

____________________________________________________________

Phone: _______________ Fax: _____________________
Email: _______________________

Are you an angler?

yes [ ] no [ ]
Fees : $10/year [ ] $20/3 years [ ]

Would you like to act as a volunteer in some capacity? i.e. fundraising, workshops, field trips, etc.
Explain: ___________________________________________________________________________

__________________________________________________________________________________
Comments:__________________________________________________________________________

___________________________________________________________________________________

Print form & mail with cheque or money order payable to:

Richibucto River Association
3 River Street
Rexton, N.B. E4W 2C9

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