Member Information

Name:________________________________ Email:_______________________________

Address:______________________________________ City:_____________ State:____Zip:____________

Phone / Fax: Home:__________ Mobile:_________ Work:__________ Other:__________

Please List Your Fishing Preferences Below-Circle All That Apply

Days Of Week:__ Sunday, __Monday, __Tuesday, __Wednesday, __Thursday, __Friday, __ Saturday

Species: __Lm Bass __Sm Bass __Walleye __Northern __Trout __Panfish __Other

With whom: __Alone, __Regular Partner __New Contacts

Your Boat-Circle All That Applies: __Own __Rent

Category: __I---15' or less __II---16' to 18' __III---19' or over

What Year You Joined Club: __________

Please Provide Comments and Suggestions Below incl. Interest In Tournaments ________________________________________________________________________________

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Please print, fill out & forward the form and payment to

Lake Geneva Fishing Club

c/o MARK ONEILL

1701 Hartley Drive

Algonquin, IL 60102