Humboldt Area Saltwater Anglers Application Form
Name:
HTC Screen Name:
Mailing address:
City, State, Zip:
Email address:
Phone:
Cell Phone:
Type of Membership:	Associate (no voting privileges) No Fee Individual/Family (voting privileges) $20.00 Annual Fee
	Mail check to: HASA P.O. Box 6191 Eureka, CA. 95502
List your affiliations, interests and talents for participating in committee functions
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