COLORADO OUTFITTERS ASSOCIATION, INC. ASSOCIATE MEMBERSHIP Application for Membership 1 Yr $50 The Colorado Outfitters Association is an association of professional outfitters whose mission is to work together to protect, maintain and enhance the opportunity to hunt, fish and enjoy the Colorado outdoors. NAME: ____________________________________________________________________________ BUSINESS NAME: ___________________________________________________________________ ADDRESS: ___________________________________________________________________________ CITY: __________________________ STATE: _______ ZIP: __________ PHONE: ______________ EMAIL: _____________________________________________________________________________ WEB SITE: WWW.____________________________________________________________________ Please describe your business and/or product as we encourage our readers and Members to use the services of our Associate Members. Sponsored by: ________________________ Chapter Affiliation:____________ All Associate Members will be included in the COA Directory and Web Site. COA Associate Membership $50.00 Donation to the COA General Fund 503 (c) 6 $________ Donation to the Annual Fundraiser Auction $________ (Donated funds are used to further hunting opportunities in Colorado) Total Amount being remitted $__________ Please mail application and payment of $___________ to: Colorado Outfitters Association PO Box 4119 Dillon, CO 80435 Phone: 970-824-2468 Fax: 970-468-8052 e-mail: Office@ColoradoOutfitters.org We accept Visa & Master Card Name as it appears on the card:____________________________________________ Credit Card type:_________ Credit Card #___________________________________ Address associated with card:______________________________________________ Expiration Date:_________ Code on back: ___________ Signature______________________________________________