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 =  $___________

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