Print and e-mail or snail mail your membership form!

Down East Lobstermen’s Association

P.O. Box 88

Belfast, ME. 04915

Tel. 207-338-1406
207-322-1924

 

Email: dassatt711@yahoo.com

Name: ________________________________________

Address: _____________________________________

Town/city: __________________ Zip: ____________

 

Phone number:___________________E-mail address___________________

Type of membership:

(  ) lobsterman/stern man ($100 ) yearly   license no. ___________

(  ) lobsterman – age 70 & over ($50)   

(  ) student ($56) yearly

(  ) business associate ($113) yearly

(  ) avid supporter ($132) yearly

(  ) Friend of DELA ($100)

(  ) I wish to support DELA’s Legal Fund___________

(  ) I wish to support DELA’s Scholarship Fund_____________

We also can take Master card and Visa

Card _ _ _ _ - _ _ _ _- _ _ _ _- _ _ _ _ Expiration date _ _/_ _  Security code _ _ _

Card holder’s name (print) _______________________________________________                  

Card Holder’s signature_________________________________________________

 

*Downeast Lobstermen’s Association is a qualified tax exempt organization under section 501 ( c ) (3) of the Internal Revenue Code