MESILLA VALLEY FLYFISHERS, INC.

% Jeff Arterburn
105 Pecan Drive
Las Cruces, NM  88001

Numbered Trout Print Order Form
(Please Print Clearly)

Name: ________________________________________________Date: _______________

Address: _________________________________________________________________

Address: _________________________________________________________________

City: _________________________________________ State: _______ Zip: ___________

Work Phone: ______________ Home Phone: ______________ email: __________________

_____ Numbered Trout Prints @ $25 per print =  $___________

           Postage if required ($5 per parcel)              $___________

           Total                                                          $___________

If you wish the print(s) to be mailed to you please add $5 for postage, otherwise you may make arrangements
to receive them locally.

Send remittance with a printout of this form to the address shown at top of page.