CLEAN WATER NOW! Campaign

(Please type or print your name as it should appear on campaign materials)

Name/Organization - ___________________________Contact Person___________________________________

Address Street________________________________________________________________________________

Town/City____________________________County___________________State_____________Zip___________

Phone _______________________Fax______________________ Email_________________________________

We are asking your club to commit to contacting the Governor's office, Legislators and local press on CLEAN WATER NOW! campaign issues.

Please complete this page and mail/fax to.

Jersey Coast Anglers Association
Clean Water Now! Campaign
Suite 9,    1201 Route 37east
Toms River, NJ 08753

Fax # (732) 506-6975 Phone. # (732) 506-6565