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2022 Fishing Club Sign Up
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Angler name(s) + age(s)
*
e.g. Jessie Smith age 6
Choose 1 per person:
*
Quantity
$25
-
Current/former LaGoonies
0
1
2
3
4
5
6
7
8
9
10
10
$50
-
New angler
0
1
2
3
4
5
6
7
8
9
10
10
Add 3% to my total amount to help cover the payment processing fees
