2005 NIAGARA MUSKY ASSOCIATION, INC.

MEMBERSHIP APPLICATION FORM

Name   ___________________________________________Age (optional)______

Address_____________________________________________________________________

City__________________________State/Province____________________Zip____________

Telephone# (____)___________________E-mail address______________________________

Signature_________________________________________________Date_______________

                                                _ New Member                       _ Renewal                                  

Yearly dues are $20 individual or $25 per family, renewable in December.     

 _ Family     Or    _ Individual

Make checks payable to:

The Niagara Musky Association, Inc.

and mail to:

Niagara Musky Association, Inc.,PMB 383, 735 Delaware Rd., Buffalo, NY 14223

For family membership please list name of spouse and names and ages of children:

Name____________________________________________age_______

Name____________________________________________age_______

Name____________________________________________age_______

            The Niagara Musky Association, Inc. is a non-profit organization established in 1994 with the goals of enhancing and preserving the Niagara River and Buffalo Harbor musky fishery for present and future generations.  If you have any questions about the Niagara Musky Association please feel free to write to us and a representative will contact you.