CSA Membership Application


If you are interested in joining our club, please print this page and send it with a check or money order to the address listed below.

Connecticut Surfcasters Association, Inc.
P.O.Box 1365
Madison, CT 06443-1365


Name __________________________________________________

Street __________________________________________________

City ___________________________State________Zip_______

Phone _____________________ E-Mail ____________________


Regular ($30) _____ Senior-65+ ($15) _____

Junior-under 16 ($15) _____ Family ($45) _____