Pro Anglers Club Membership Form Where Serious Fishermen Gather Membership Application Please Print Name:_______________________________________________________________________________ Address:______________________________(CITY)_____________________(ST)_____ Phone:_________________________Cell Phone:_____________________ (ZIP)___________________ Dues:__________(Office Use Only) Type of Boat:_________________________________Hp:_______________Trolling Mtr:______________ Number of Hours Spent Fishing Each Week:________________________Fish at Night:________________ Favorite Lakes:________________________________________________________________________ Method Most Often Used:_Crankbaits______Spinnerbaits______Live Bait_______Trolling___________ Back Trolling____Jigs_____Worms______Other(list)_________________________________________ Species Most Often Fished For_Walleye________Bass_____Musky______Northern_______Panfish______ I release the Officers and Members of "Pro Anglers Club" from any liabilities or personnal judgements, either physical and/or involving personal property, while participatingin any Club sponsored activity. As a member I shall be adequately insured at my own personal expense. I:_______________________(Do Not Print) have read the above and understand the conditions for membership in Pro Anglers Club. Date:____________________