DATE: _____________________ NAME_________________________________________________     SPOUSE________________ FAMILY MEMBERS_______________________________________________________________  ADDRESS_______________________________________________________________________ CITY___________________________________________________ST____ZIP_______________ PRIMARY PHONE#_(_____)_________________________Circle one: CELL  HOME  WORK EMAIL________________________________________  SPONSOR________________________

 1. Do you own a boat? Yes___No___  

What is the name of your boat?________________________________________________  

Type of boat?_________________________________________________________

 

 2. I will be able to serve on the following committees: (check all that apply)  

Activities___    In-House Tournament___    Surf/Pier Tournament___   

 HOOK-a-Kid on Fishing program___    Monofilament Recycling___    

Website/FaceBook___    Newsletter___    Political Action___   Fundraising___   

Christmas Party/Awards___     Meeting Setup & Clean-up___    Membership/Welcome___                

Leaderboard___     Guest Speaker___    Rules___

Willing to serve on Executive Board___ 

---------------------------------------------------------------------------------------------------------------------- Members Receipt - Cut Here Mail address:

 Seacoast Anglers Association • PO Box 510 • North Myrtle Beach, SC • 29597 

WEBSITE: www.seacoastanglersassociation.com EMAIL: SeacoastAnglers@aol.com 

 
Meetings: 3rd Monday of each month at 6:30PM. Place: American Legion Post 189 • Pine Drive • Little River, SC
 
Yearly Membership Dues $60.00 per family........... New members July 1 to December 31 $30.00 per family....... 
 
Amount Paid $__________Date______________ Rec. By_______________ Published 01/23/2019