Please pick a dues category below and make your check out to F.I.S.H./FLMHA
( ) $10 Student
( ) $20 Individual
( ) $50 Institutional
( ) $100 Supporting
( ) $1000 Perpetual
Name_____________________________________ Phone Number________________
Street Address___________________________________________________________
Town_____________________________, State_____________ Zip________________
e-mail address___________________________________________________________
Florida Maritime Heritage Association P.O. Box 606 Cortez, FL 34215