KEOWEE ANGLERS

New Membership and Membership Renewal Form

All fields on this form are required

New Member - Minimum age requirement 18 years old ($20):
or  Renewal before Jan 1st ($10):

New members signing up in the last 4 months of the year are also covered for the following year

Name:     

Address:

City:            State:   ZIP:

Phone:    

E-Mail address:

Are you interested in volunteering for:  Club Officer  

PAYMENT INSTRUCTIONS:

Check Enclosed:    Cash Paid:
Checks should be made payable to Keowee Anglers

Bring form and check / cash to the next meeting or mail form and check to:
John Wilson, 331 Blue Water Way, West Union, SC 29696

If you have questions, call John at 882-5876