Gulf of America Reef Fish Shareholders' Alliance Membership Form

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Thank you for joining/renewing your membership with the Gulf of America Reef Fish Shareholders’ Alliance!

Email *

First Name *

Last Name *

Street Address 1 *

Street Address 2

City *

State *

Zip Code *

Phone number *

Would you like to receive information via Text from the Shareholders' Alliance? *

By checking Yes and signing up for text messages from the Shareholders’ Alliance, you agree that our text service is designed to provide you with helpful information, reminders, and notifications via text messages sent to your mobile phone. You agree that we may use text messages to communicate with you for a variety of purposes, including announcements and reminders of upcoming events, reminders about membership renewals, policy updates, and meeting alerts. Participation in our text messaging service is entirely voluntary. You have the right to refuse or withdraw your consent at any time. You agree that there are inherent risks associated with all electronic communications, unauthorized access, loss of privacy, and potential breach of sensitive information. It is important to be aware that text messages may not be entirely secure and could be intercepted or accessed by unintended recipients. You agree that participation in the text messaging service may involve standard text messaging charges applied by your mobile service provider. Please consult your mobile service provider regarding any applicable fees or charges.

Yes

Required

Are you a new member or returning member? *

New Member

Returning Member

Which best describes you? Please check all that apply. *

IFQ Shareholder fisherman

Fish dealer, wholesaler, or other related seafood business owner

Family member of a fisherman

Vessel Owner

Non-IFQ shareholder fisherman

Crew member on a reef fish vessel

Dual permit holder (commercial and charter/for-hire)

Other:

Required

Select Membership Level *

Membership: No

Crew Membership: $26.50 ($25.00 + handling)

Captain Membership: $52.50 ($50.00 + handling)

Fishing Business Membership, Level 1: $260.00 ($250.00 + handling)

Fishing Business Membership, Level 2: $1,040.00 ($1,000.00 + handling)

Fishing Business Membership, Level 3 voting membership: $2,080.00 ($2,000.00 + handling)

Required

Would you like to make an additional donation to the Wayne Werner Scholarship Fund? *

Scholarship Fund: No

Scholarship Fund: $50.00

Scholarship Fund: $100.00

Scholarship Fund: $500.00

Scholarship Fund: $1,000.00

Other:

Gift Membership

Would you like to make a Gift Membership for a Friend or Colleague? If making multiple Gift Memberships, use the Other checkbox, and using the amounts below add in the amount for how many memberships you would like to gift. At the bottom of the form you can add the names and amounts for the gifts in the Information box.

Gift Membership: No

Gift Crew Membership $26.50 ($25.00 + handling)

Gift Captain Membership: $52.50 ($50.00 + handling)

Gift Fishing Business Membership, Level 1: $260.00 ($250.00 + handling)

Gift Fishing Business Membership, Level 2: $1,040.00 ($1,000.00 + handling)

Gift Fishing Business Membership, Level 3 voting membership: $2,080.00 ($2,000.00 + handling)

Other:

Required

Gift Membership Information

If you chose to make a Gift Membership above, please include in the paragraph line below Information about the recipient: Name, Email, Address (including street, city, state and zip), and phone number.

Donation In Memoriam *

Would you like to make an additional donation In Memoriam of a Loved One or Friend? At the bottom of the form you can add the name for your donation in the Information Box.

In Memoriam: No

In Memoriam: $50.00

In Memoriam: $100.00

In Memoriam: $500.00

In Memoriam: $1,000.00

Other:

Donation In Memoriam, or Other Donation Information

If you made a Donation In Memoriam, or Other Donation for someone else, please enter the name or names below. Let us know if you would like their name In Memoriam included on our website.

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