Name ______________________________________________
Address _____________________________________________
___________________________________________________
Phone ______________________________________________
E-mail address ________________________________________
(Please include your email as we email updates frequently)
□ Family Membership: $40.00 Good for one Year, October 1st – Sept 30th.
Additional names__________,_____________,______________
I mainly fish: □ Rivers □ Lakes □ Saltwater
Favorite fish species: (steelhead, salmon, etc) ______________________
Type and size of boat (if applicable) _______________________
Mail to: PSA Sno-King Chapter PO Box 55158, Shoreline, WA 98155
