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Tri-County Trout Club Membership Application:

 

If you are unable to attend the monthly meeting, and wish to mail in your membership, please fill out the application below and send it, along with your check made payable to “Tri-County Trout Club” to:

 

            Tri-County Trout Club, P.O. Box 2252, Lower Burrell, PA 15068-0744

 

Name:______________________________________________________________________________

 

Mailing Address:_____________________________________________________________________

 

City:________________________________________State:___________Zip Code:_______________

 

Phone Number:_______________________________________Date of Birth:____________________

 

Email Address:_______________________________________________________________________

 

How did you find out about us?__________________________________________________________

 

Check One:     Adult Membership Dues $15 ______

                        Junior Membership Dues (15yrs or younger) $5 ______

-Yearly Membership runs from January through December.

 

Please direct any membership questions to John Cobes at 724-335-4953, email at John.Cobes@alcoa.com.