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.

To Fill this form out online Click Here.

Print, Fill Out & Send to:  Bill's Musky Club Inc., P.O. Box 476, Schofield, WI 54476

Please fill out form legibly to avoid information being missed or recorded incorrectly

Type of Member*

Reg Member______ Master________Guide_______Woman_______Junior______

Condition of fish*

Kept_______Released______Length______________________

Name* _____________________________________________

Address* ___________________________________________

City* _________________ State* ________________ Zip* _________

Date Caught* ____________ Time* ____________  AM  PM  (please circle one)

Length* ______________ Weight _______________Girth _________________

Bait Manufacturer __________________________________________________

Type of bait (please circle one)

Surface - Jerk - Crank - Glider - Twitch - Buck Tail - Spinner bait - Jig - Rubber - Other

Wisconsin Caught Fish

Lake ___________________ County* ________________

Out of State Caught Fish

Lake Caught ________________ State / Providence* _______________

Witness _________________________________________ (signature)

Member _________________________________________ (signature)

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