Catfish Club

San Diego, California

Membership Application

Name:                      _________________________________

Address:                   _________________________________

City/State/Zip Code: _________________________________

Work Telephone:   (________)_________________________

Home Telephone:   (________)_________________________

Mobile Telephone: (________)_________________________

Fax:                       (________)_________________________

E-mail:                   _________________________________

Membership Type (covers all meetings of the year):

____ Corporate ($1,000 per year, member & guest)
____ Individual  ($400 per year, member only)

Date:___________________________

Please make check payable to "The Catfish Club"

Mail to:
The Catfish Club
610 Gateway Center Way
Suite G
San Diego, CA 92102
619-266-7278 office
619-266-8130 fax