Santee Cooper Country Guides Association Membership Application Form

Send this form with your annual dues of $50 to the association secretary\treasurer:

Check one: ____Primary Member ____Associate Member

Name: _____________________________________

Address: _____________________________________

                 _____________________________________

Phone Number: ______________

Website and\or e-mail address: ____________________________

                                                        ____________________________

Species Specialty (if applicable): _________________________

Coast Guard Certification number (if applicable): _____________