OLD **MEMBERSHIP APPLICATION Lake Pend Orielle Anglers Club Membership Application Print clearly please – Name Date of birth: Mobile: Home Phone: Mailing Address City State ZIP Code Email Boat Name Would it be okay to share your email address with Idaho Fish and Game? Yes No Type of Membership-(If Corporate-List Members)Check One Single $30.00 Family $40.00 Corporate Membership $100 1 2 3 Silver Corporate Membership $500 1 2 3 4 Family – List Family Members Below Name of a partner: Child / Children: Child-Name_1 Child-Name_2 Child-Name_3 Child-Name_4 Child-Name_5 Child-Name_6 Membership Dues are Due January, Yearly | Payment CHECK CASH Credit Mail application with check payable to: Lake Pend Orielle Anglers Club (LPOAC) to: PO Box 693, Bayview, ID 83803 Membership FeesSingle MembershipFull Family MembershipCorporate MembershipSilver Corporate MembershipEnter your email address: Level Price Single Membership $30.00 per Year. Select Family Membership $40.00 per Year. Select Corporate Membership $100.00 per Year. Select Silver Corporate Membership $500.00 per Year. Select ← Return to Home
