Pentwater Sportfishing Association

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Pentwater Sportfishing Association Application / Renewal Form


Date: __________________


Name:   _________________________________________________


Name Spouse (if applicable)  ________________________________

 

Mailing Address:  _________________________________________


City:  ____________________________________


State:  __________     Zip Code:  __________


Phone Number:  __________________________

                           ___________________________


e-mail address:  _____________________________________________


Boat Name:  ________________________________________________


Membership:   (please circle one)   Self - $10.00        Self / Spouse $15.00


Added Support Funding:

                                          Channel Lights $_________________

                                          Fish Cleaning Station  $___________


Check here to receive your newsletter via e-mail:  _________


I would like to help with the following Association sponsored events:


Memorial Derby: _____


Mini-tournament weigh-ins:  _____


Teach A Kid Event:  _____


Ladies' Tournament:  _____


Channel Light Maintenance:  _____   


Serve on Board of Directors:  _____


Mail Form To:   PSA, PO Box 173, Pentwater, MI  49449