Membership Application
Eastern Lake Ontario Salmon and Trout Association
PO Box 3484 Syracuse, NY 13220-3484
2015
Membership Annual Dues
Print and send completed form with a check ** for the correct amount to :

Tom Lott, Treasurer
5891 Mud Mill Road
Brewerton, NY 13029
Name:
Date:
Address:
City:
State:
Zip:
Phone:
Cell Phone:
E-Mail:
Homeport:
Handle:
Boat Make:
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*   The monthly Newsletter will be mailed 3rd class if this box is not checked.
**  Checks should be payable to ELOSTA
Charter Service / Website:
(If applicable)
This page was last updated: April 12, 2015
ELOSTA is a member of the BoatUS Cooperating Group Program!

Special Group benefits entitle Elosta members to a full membership in BoatUS for only $12.50 – that's 50% off the regular $25 annual dues! BoatUS Member benefits also include rebates at BoatUS and West Marine stores, discounts at marinas nationwide on fuel, repairs, and overnight slips, on-the-water towing services, highly-respected marine insurance , and much more. New and current Elosta members wishing to join BoatUS can obtain ELOSTA's BoatUS Coop.# on the Members' Only Page .
Indivdual
Family
New Member
Renewal
1st Class
$10 Individual
$13.50 Family
Add $4.50 for 1st Class *
Member Boat/US (See Below)