Application for GFSA Membership

Please print this page and use as a membership application form. Make checks payable to the "Goldfish Society of America". The dues (in US dollars) are:

One Year Three Years
USA US$ 25.00 US$ 70.00
Canada and Mexico US$ 30.00 US$ 85.00
All other international (via surface mail) US$ 30.00 US$ 85.00
eReport membership: receive the Goldfish Report as a PDF document via email. Same price worldwide. US$ 10.00

Send membership applications with payment to

        GFSA Membership
        PO Box 551373
        Fort Lauderdale, FL 33355 USA

Note: Please allow 6-8 weeks for the receipt of your first issue of the Goldfish Report

Renewal or New Membership:

Name: _________________________________________________
Address: _________________________________________________
City: _________________________________________________
State/Province: _____________________ ZIP/Postal Code: _________
Country: _________________________________________________

The following are optional, but will help us contact you. Note: If you are subscribing to the the electronic version of the Report ("eReport"), you must provide an email address and your account must be able to handle email attachments of 2-3MB in size:

email Address: _____________________ Phone: _________________

Gift Membership:

Name: _________________________________________________
Address: _________________________________________________
City: _________________________________________________
State/Province: _____________________ ZIP/Postal Code: _________
Country: _________________________________________________

The following are optional, but will help us contact your giftee. See note above for electronic subscribers:

email Address: _____________________ Phone: _________________