Qty   Description                                             Each      Total

-----  ----------------------------------------------------  -------  ---------- 



_____  Fly Patterns of Alaska ...................... $19.95  __________





_____  Flyfishing Southcentral Alaska .............. $12.00  __________





_____  Alaska Flyfishers Pin ........................ $8.00  __________





_____  Alaska Flyfishers Patch ...................... $4.00  __________





_____  Alaska Flyfishers Cap - club logo ........... $12.00  __________

	Color: Aqua_____ Red_____ Green_____ Bark____ Blue____





       Shipping & Handling Charges:                  Subtotal  __________

        $15.00 and under  add  $5.00

        $15.01-$50.00     add  $8.00

        over $50.00       add $10.00 ................. Shipping  __________

        U.S. Orders Only - Allow 4-6 weeks for delivery



Method of Payment: Check ______ Money Order ______           Total  __________



Ship to:



    Name:    _________________________________________________________________





    Address: _________________________________________________________________





    City:    ____________________________ State: ___________ Zip: ____________





    Phone:   ___________________________  E-mail: ____________________________



             Print this form and mail with your check or money order to: 

Alaska Fly Fishers
200 W 34th Ave #1233
Anchorage, AK  99503