| Lake Shelbyville Musky Fishing Club |
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Application for Lake Shelbyville Muskie Club Print out form and send to mail form and check to: Kevin McGill, PO Box 138, Bondville, IL 61815 MAKE CHECK PAYABLE TO: Lake Shelbyville Muskie Name:_______________________________________Date_________________ Address:_____________________________________________ ___________________________________________ City or Town State Zip Code
Dues are $30.00 for a 1-year membership and $10.00 for each additional member living at your residence. Number of family members joining the club and their relationship to member: _______________________________ _____________________________ _______________________________ ____________________________ PLEASE CIRCLE YES OR NO ON QUESTIONS BELOW: Do you have your own boat? Yes No Do you have boat insurance? Yes No During an outing would you be willing to fish with someone other than your regular fishing partner? Yes No As a club member would you be willing to serve on a committee to help with the club? Yes No
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