NAME_____________________________________ PHONE_________________

ADDRESS________________________________________________________

CITY_______________________________ STATE___________________ ZIP___________

EMAIL ADDRESS____________________________________________________________

($25) YEARLY MEMBERSHIP

( Each membership year runs; Jan. 1 through Dec. 31 in the year payment is received)

I COLLECT, CARVE, OR HAVE AN INTEREST IN:

____ANTIQUE FISH DECOYS                                ____ FISH DECOY CARVER

____CONTEMPORARY FISH DECOYS                   ____ SPEAR MAKER

____DECORATIVE FISH                                        ____JIG STICK MAKER

____JIG STICK COLLECTOR                                 ____RELATED HISTORY

As a member of the GLFDA,

I will to the best of my abilities honor its code of ethics and support its goals.

 Member Signature _____________________________________, Date_____________

Membership checks or money orders are to be made payable to GLFDA and mailed to:

     GLFDA / AL REEG

195 S. MATTESON LK. RD.

   BRONSON, MI.  49028