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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Spouse First Home PhoneMobile PhoneEmail* Enter Email Confirm Email Boat InformationNameManufacturerLength * New Member Renewal Membership Type* SINGLE - $100 FAMILY - $125 SENIOR - $75 MILITARY/VETERAN - $75 Are you an Active Muskie Fishing Guide?* No Yes This field is hidden when viewing the formYear-End Side Bets Year-End Top 3 Largest Registered Release Captain Open Catch/Picture/Release This field is hidden when viewing the formYear-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 This field is hidden when viewing the formMonthly 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 BetsThis field is hidden when viewing the formPayment Type* Check or Money Order Paypal Payment 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
