REGISTRATION FORM BILL'S MUSKY CLUB

Your registration form must be received (post marked) by the 10th of the month following your catch and all blanks must be filled in that have a star* to qualify for any monthly/yearly awards.

Your Name
Address
City
State
Zip
Email Address
Phone Number
Type of Member	Reg MemberMasterGuideWomanJunior
Condition of Fish	KeptReleased
Date Caught
Time Caught
	AM PM
Length
Weight
Girth
Type of Bait	SurfaceJerkCrankGliderTwitchBuck TailSpinner baitJigRubberOther
Bait Manufacturer
State/Providence
County Caught
Lake/River Caught
Witness Name
Member Name
Attach Picture
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