California Lobster and Trap Fishermen’s Association

Rodger Healy Jim Colomy Jennifer Goudeau

President Vice President Secretary

P.O. Box 2294 P.O. Box 2294 3535 Linda Vista Dr. #65

Capo Beach, CA 92624 Capo Beach, CA 92624 San Marcos, CA 92069

(949) 494-9449 (805) 705-9699 (760) 727-4138

Membership Application (New __ /Renewal __) 2014

Name: _________________________________________________________

Address: _______________________________________________________

______________________________________________________________

State/Zip: __________________________ Tel: ______________________

Email…Please be legible: _________________________________________________________

Boat Name and Vessel ID: _________________________________________

DFG License #: __________________________________________________

Numbers of years as a Lobster operator__________

I agree and abide by the Constitution and By-laws of the California Lobster

and Trap Fishermen’s Association.

Member’s Signature: _______________________ Date: _____________

Please make checks payable to:

“California Lobster and Trap Fishermen’s Association”

The annual Association dues are $200.00. These funds are used to protect and bolster the value of the lobster resource and your permit. Please mail this form and check to:

CLTFA

P.O. Box 2294

Capo Beach, CA 92624