Please print this membership application form and return it with your contribution.

Membership Categories   Name: ______________________________________

Individual        $20.00       Address: ____________________________________

Family             $30.00      Town: _________________ State: ___ Zip: ________

Student           $10.00      Tel: ___________________

Senior             $10.00      Email: ____________________________

Life                $300.00     I wish to do volunteer work for the club.

Business       $125.00     Please contact me ________

Dues:______  Hatchery Donation:_________   Total Enclosed: ______________   

Please make checks payable to:      Saco River Salmon Club

                                        Mail to:      PO Box 115, Saco, ME 04072