Member Sign-upLSCMOMC Team2021-05-05T13:22:17-04:00 Step 1 of 3 33% Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Spouse First Home PhoneMobile PhoneEmail* Enter Email Confirm Email Boat InformationNameManufacturerLength *New MemberRenewalMembership Type*SINGLE - $100FAMILY - $125SENIOR - $75MILITARY/VETERAN - $75Are you an Active Muskie Fishing Guide?*NoYes Year-End Side Bets Year-End Top 3 Largest Registered Release Captain Open Catch/Picture/Release Year-End Side Bets Captain Open Catch/Picture/Release Largest Registered Release * * Muskie Fishing Guides can only qualify for LRR for muskies caught and weighed in during one of the 5 monthly club tournaments and must not be for hire during tournament. Year-End Side Bets Select the tournaments you want to pre-pay for. You can always add monthly side bets at a later date. The deadline is 6pm the Friday before the start of tournament. Monthly Big Fish Side Bets Select All June (LePage) - Big Fish July (LeBlanc) - Big Fish Aug (Sumer Slam) - Big Fish Sept (Pierce) - Big Fish Oct (Valley) - Big Fish Monthly CPR Side Bets Select All June (LePage) - CPR July (LeBlanc) - CPR Aug (Sumer Slam) - CPR Sept (Pierce) - CPR Oct (Valley) - CPR Monthly 2 Fish CPR Side Bets Select All June (LePage) - 2 Fish CPR July (LeBlanc) - 2 Fish CPR Aug (Sumer Slam) - 2 Fish CPR Sept (Pierce) - 2 Fish CPR Oct (Valley) - 2 Fish CPR CPR Monthly 2 Fish CPR Side Bets Select All June (LePage) - 2 Fish CPR July (LeBlanc) - 2 Fish CPR Aug (Sumer Slam) - 2 Fish CPR Sept (Pierce) - 2 Fish CPR Oct (Valley) - 2 Fish CPR CPR Monthly Side BetsPayment Type*Check or Money OrderPaypalPayment MUST be received prior participating in any club function. Once you hit Submit a PayPal window will open. All PayPal purchases through the site are assessed a 5% service charge.PayPal Fees Price: $0.00 Total $0.00 Additional Notes This iframe contains the logic required to handle Ajax powered Gravity Forms.
