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NFLCC Membership Application

The NFLCC annual membership year runs from July 1st through June 30th

New Member: ______   or Renewal: ___________

Membership Fee Paid:

          $25.00 U.S.____     $50.00 Canada____    $75.00 International____
 

Fill out the application below and mail it with your membership dues (Check or Money Order Only) made payable to the NFLCC:

Colby Sorrells - NFLCC
Secretary-Treasurer
PO Box 509
Mansfield, TX 76063-0509
                                         

NAME:____________________________________________________________    

ADDRESS1:________________________________________________________

ADDRESS2:________________________________________________________

CITY:_________________________   STATE:_____    POSTAL CODE:__________

COUNTRY:_________________________

PHONE:(____)_______________________

EMAIL (27 characters maximum): _________________________________________

HOW DID YOU HEAR ABOUT THE NFLCC?____________________________

CLASSIFY YOUR INTEREST IN ANTIQUE FISHING TACKLE (Check all that apply)

WHAT DO YOU COLLECT? ____________________________________________________________________