Membership Form

Please print this form, fill-in the appropriate spaces, then mail with a check or money order payable to: "12 Apostles Musky Club, Inc."

Send to:
12 Apostles Musky Club, Inc.
P.O. Box 122
Stevens Point, WI 54481

Name________________________________________________________

Address______________________________________________________

City/State___________________________________zip code__________

Phone________________________________

Check one: ___ New Member ___ Renewal ___ Address Change ___ Gift

Please choose membership type:
Check appropriate box(s)

___ Regular Member 1 yr - $20.00

___ Family  1 yr - $30.00

___ Junior Member(15 and under) - $15.00