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Make check made out to NJBBA
Mail to:
NJBBA
Membership Secretary
P.O. Box 191
Creamridge, NJ 08514
Membership Application/Profile
DATE:_____________________
DUES:
[ ]New Member $25.00
[ ]Renewal tag #________$20.00
[ ]Family (each member) $10.00 (
) number of family members
[ ]Information Change
Membership Numbers ____________
Name: ___________________________________________
Address:__________________________________________
City: _______________________________ State: ________
Zip+4___________ Phone: ( ) _______________________
E-mail:___________________________________________
Date of Birth:______________________________________
Vehicle Make & Model (be specific) _____________________
[ ] 2WD [ ] 4WD
What area's do you usually fish? _______________________
Do you have a CB or Hand radio? [ ] Yes
[ ] No
If so, what is your handle/call sign?_____________________
Do you own a Boat? [ ] Camper? [ ] Other? [ ]
_________________________________________________
Are you interested in being on the Courtesy Patrol? Yes [
] No [ ]
Occupation:______________________________________
Donations (Optional):
Emergency Fund $_______
National Hunting and Fishing Day $_______
Scholarship Fund $_______
Youth Education Fund $_______
ANY QUESTIONS? send an E-mail to our Membership Secretary
terreb93@comcast.net
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