Membership Application

If you have an interest in membership in the Delaware Mobile Surf-Fishermen, Inc. print out and mail this application along with the appropriate fee:

Delaware Mobile Surf-Fishermen, Inc.
P.O. B0X 455,
DAGSBORO, DE 19939

New Membership ____                                                        Renewal ____
DMS Number _________

Name ________________________________________________
Address ______________________________________________
City/State/Zip __________________________________________

Initiation Fee $10.00 ______     Membership Dues $15.00_______ (Check all that apply)

E-Mail- _____________________________________    Telephone ____________________

I agree to abide by the DMS Club Code of Ethics.

_____________________________________
        Applicant Signature
NOTICE: All information in application remains the property of the DMS and shall not be used except by DMS