Charlotte NC Offshore Sportsfishing Club's
On Line Membership Application Form
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Personal Information
Name:
Spouses Name:
Children:
Mailing Address:
Beach Address:
Contact Information
Home Phone:
Cell Phone:
Work:
Beach #:
Your E-Mail Address:
Saltwater Fishing Interest
Ports Fished:
Your Boat Name & Description (it is not necessary to have a boat to be a member):
Your VHF radio “handle”
Primary species you fish for:
Primary fishing interest:
Inter-coastal
In-shore
Offshore
All of the above.
(Optional) List three (3) interest or species that you would like to see the club focus on this year.
(Optional) Other than monthly meetings, are there additional club functions that you would like to suggest that the club arrange or participate?
You may prefer to view the newsletter on the COSFC Web Siteor have it mailed direct to your home.
Read Newsleter on Web Site
Have Newsletter mailed to me.
Yearly Dues $60.00 Due 01/06
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Figuring A New Member Dues:
T
he Club
'
s Fiscal year runs from January to December
. $60.00 yearly dues are due
1/06/ for each club member. A new members joining after 1/01 will initially pay dues on a
prorated basis for the remaining
quarter
s
of the year
in which you
join.
E
xample, dues paid in the first
quarter
(Jan., Feb.,
March)
of the year are $60.00;
$40 the second
(April, May, June)
; $30 the third
(July, Aug., Sept.)
; and $20 the
last
(Oct., Nov., Dec.,)
.
All full year dues are due in January.
Date Paid:
Check #
Make checks payable to COSFC
Checks can be brought to the next meeting and given to
Ken Perruquet
or mailed to:
Ken Perruquet
4801 East Fork Lane
Monroe, NC 28110
Clicking this will reset the entire form
.
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Clicking this will e-mail this application to Mayor Lucy co/Secretary