Bay Shore Tuna Club

Membership Form

Dues must be paid by March 12^th to be eligible for prizes !

Adult Memberships (Age 16 and over) $35.00 per Adult

Name:  ___________________________

Name: ___________________________

Name: ___________________________

Name: ___________________________

Child Memberships  (Under age 16) $10 per Family

Child: ___________________________

Child: ___________________________

Address: _______________________________

City: _________________ ST: _____   ZIP: ______

Phone: _________________________

Email: _________________________

Please make all checks payable to:  Bay Shore Tuna Club

Send payment to:   Bay Shore Tuna Club

                               48 Maple Avenue

                               Bay Shore, NY  11706

For additional information, call 631-665-8757