2010

PROSPECTIVE MEMBERSHIP APPLICATION

(PLEASE PRINT)

NAME:____________________________________________________________

ADDRESS: ________________________________________________________

CITY:_____________________________ STATE:_____

ZIP:________________

PHONE: HOME: (_____)__________________

            CELL:  (_____)__________________

MEMBERSHIP DUES ARE $20.00 PER YEAR.

MEMBERSHIP STARTS:

DECEMBER 12, 2009

MEMBERSHIP ENDS:

AFTER MARCH TOURNAMENT

IF YOU FISH ANY OF THE FOLLOWING:

1. FLW- TOURNAMENTS

2. BASS- TOURNAMENTS

3. BFL - TOURNAMENTS

OR

IF YOU ANSWER YES TO THE FOLLOWING ?’S:

YES___ NO___ HAVE YOU EVER FISHED AS PRO?

YES___ NO___ ARE YOU A PRO GUIDE?

YES___ NO___ DO YOU FISH FOR A LIVING?

YOU ARE NOT ELIGIBLE TO FISH IN THE MISFITS’.

NOTE: If dues have been paid and you fished in any tournaments mentioned above you will be asked to leave the club without a refund(Boater or Non-Boater).

1. Application is to be completed prior to payment and is subject to existing members approval. Payment due upon submission of form.

MEMBERSHIP APPLICATION AND DUES GO TO

NEIL MERICA (Cash Only).