Membership Renewal     Kamloops and District Fish and Game Association

Our Membership year is from January 1 - December 31      

Make cheques payable to :                   “Kamloops and District Fish and Game Association” 

or              “KDFGA”

and mail to                    “KDFGA    Box 164    Kamloops B.C.    V2C 5K6”

Surname _______________________   Name________________ Today’s date______________  Age_________

Circle one :           Regular ($50)                

                             Family ($60 - incl spouse and/or kids 17 or under)               

                             Junior ($10 - age17 or under)

partner’s name ____________________  

Kids (17 or under)   names (age)____________ (___)   _____________(___)   ____________ (___)

Amount paid_____________

COMPLETE REST ONLY if NEW or CHANGED:

email ___________________________________________

Mailing address _____________________________________________________________

City_________________________  Postal Code ______________  Phone _____________________

Office use only  :

 membership by ________ card by ________ dues by _______ date ______________

Rev Jan 15 2013