Print out a copy of this form, complete it, and mail it along with your check to:
The Delaware River Fishermen's Association, PO Box 4739, Philadelphia, PA 19134
Please Check Type of Membership Below
| ____Individual Membership- paper newsletter mailed | $15.00 |
| ____Family Membership1 - paper newsletter mailed | $20.00 |
| ____Associate Fishing Club Membership | $25.00 |
| ____Supporting Business Membership | $50.00 |
Every Membership Includes:
Access to the Member Services section of the DRFA website (regardless of your membership type)
12 Issues of the DRFA newsletter
Entry in all 8 DRFA tournaments (with each tournament paying $125 for 1st, $75 for2nd, and $50 for 3rd)
Eligibility for the annual Dave Bryant Angler of the Year Award (with an individual trophy and $250 cash prize to the winner)
Date of Application:___________________________________________
Name:______________________________________________________
Address:____________________________________________________
City/State/Zip:_______________________________________________
E-mail 2:_____________________________________________________
Phone: Home_____________________ Work_____________________
New Member or Renewal? _____If new, referred by:_________________
I give my permission for the DRFA to publish the above information in its member directory :
(Directory is to be used strictly for club business, not for sales or promotions).
Signature :_____________________________________________________
I DO NOT give my permission for the DRFA to publish the above information in its member directory :
Signature :_____________________________________________________
1 Family members include any member of the immediate family residing at that home
and any immediate children, up to the age of 16, no matter where they live. Grandchildren
up to the age of 16 also qualify, no matter where they live.
2 Email Address must be included so we can send you the password which
will allow access to the Member Services area of the DRFA Web Site.