Golden Charter Membership Application

Yes I want to become a Golden Charter Member of the
Golden State Flycasters

Name_______________________________________

Street_____________________________City_______________Zip_________

Phone_________________________ E-mail*__________________________

*The newsletter and other information will be sent via e-mail.

Enclosed is a check in the amount of $ ___________________, for the Benefit Level circled below.

Please make checks or money orders to: Golden State Flycasters, and mail to Golden State Flycasters, 3830 Valley Center Drive, Ste. 705-Box 721, San Diego, CA 92130

BENEFIT LEVELS

Wooly Bugger ($75 Not Deductible)

  • Contribution: $200 to $299
  • Individual Membership for three (3) years
  • Recognition on Website

Caddis ($125 Not Deductible)

  • Contribution: $300 to $449
  • Individual Membership for five (5) years
  • Recognition on Website

Adams ($275 Not Deductible)

  • Contribution: $450 to $699
  • Individual Lifetime Membership
  • Recognition on Website
  • One logo golf shirt

Royal Coachman ($400 Not Deductible)

  • Contribution: $700 and up
  • Couple Lifetime Membership
  • Recognition on Website
  • Two logo golf shirts