Porter County Hawg Hunters
Bass Fishing Club

Application Form

(Print this page and fill out questions)

APPLICATION DATE: ___________________

DATE ACCEPTED: ______________________

B.A.S.S. NUMBER: ______________________

NAME: __________________________________________________

WIFE'S NAME: ___________________________________________

ADDRESS:  _______________________________________________

CITY: _______________________      STATE: ____   ZIP: __________

HOME PHONE: __________________   WORK PHONE: _______________

OCCUPATION: ____________________________________________

PLACE OF EMPLOYMENT: __________________________________

DO YOU OWN A BOAT: ________   MAKE: ______________________

LENGTH: _________    HORSEPOWER: __________   MAX H.P. __________

LIVE WELL: _______    KILL SWITCH: ___________

YEARS OF BASS FISHING: _______   FAVORITE LAKE: _________________

DO YOU BELONG TO ANY OTHER BASS CLUB: _______

IF SO, NAME: _____________________________________________________

WHY DO YOU WANT TO JOIN A BASS CLUB: _________________________

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WHAT ACTIVITIES WOULD YOU LIKE THE CLUB TO PARTICIPATE IN: ___

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