Registration Form for Fly Tying and Casting Workshop

 

Use your computer's printer to print this page. 

 

Please print legibly.  One form per participant, please.

 

Name:

 

Age:

 

 

Address:

 

 

City:

 

State:

 

Zip:

 

 

Phone, day

(      )

 

Phone, eve.

(      )

 

 

 

 

Completed form should be mailed in with payment included.

 

Make your check or money order payable to Virginia Coastal Fly Anglers and attach it to the blank area below.

 

Mail to:  Friends of Mackay Island, PO Box 114, Knotts Island, NC 27950

 

 

Thank you for your interest in our activities.