KEOWEE
ANGLERS
New Membership
and Membership Renewal Form
All
fields on this form are required
New Member ($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
Lake Sweep
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:
Jim Muldoon, 5 High Water Court, Salem, SC 29676
If you have questions, call
Jim at
944-1454
