Got Em On Live Bait Club Membership Application
PO Box 6, Carolina Beach, NC 28428, www.got-em-on.com
$45.00 Annual Dues renewable each January 1st
_________ Cash _________Check# ___________
____________ Renewal (current mailing address and sign below)
____________ Renewal with changes (change info and sign below)
____________ New (complete entire application and sign below)
Sponsoring member (new members only) ___________________________________________________________________
City: ______________________________________________ State: ___________________________ Zip: _____________
Employer: ___________________________________________________ Home phone: _____________________________
E-mail: _________________________________________________ Marital Status _________________________________
Boat info: Manufacture and Length ________________________________________________________________________
Your children under 18 are included in your membership.
How do you want to receive newsletters or upcoming club events information?
(Please keep club informed of any changes in current addresses)
Mail _____________________ or E-mail ___________________________________________________________________
If you are willing to help on any comittees, please contact any board member and give them your name and number.
I certify that the above information is accurate. I understand that if I am accepted for membership, it will be probationary for a
period of six months from the date of acceptance. I pledge to uphold the rules and regulations of the organization and to make
every attem[t to improve the quality of our fishing environment and the reputation of the club.
Signature: _______________________________________________________________________Date _____/_____/_____
Copyright © by Got-Em-On Live Bait Club All Rights Reserved.