2021 PSA Membership Application

2021 Membership Application
Thank you for your interest in the PSA!

To become a member or renew an existing membership, please complete the form below.
Member Information
Membership Type:

Self ($10.00) Self & Spouse ($15.00)
Name: *

First Name Last Name
Spouse:

First Name Last Name
Email: *
example@example.com
Phone Number: *
Address: *

Street Address

Street Address Line 2

City State

Zip Code
Boat Name:
I Would Like to Receive My Newsletter By:

Email Regular Mail
Optional Donations

Enter any additional amount you would like to donate in support of the following:
Fish Cleaning Station:
Support the municipal fish cleaning station in Pentwater.
Channel Lights:
Support the installation and maintenance of channel lights.
Teach a Kid:
Support the PSA's 'Teach A Kid' event on July 10, 2021.
Opportunities to Help
I Am Interested in Helping With:

Memorial Day Weekend Tournament Mini-tournament weigh-ins Teach a Kid Event Ladies Classic Channel Light Maintenance Serving on the Board of Directors
Payment
Subtotal:
Processing Fee:
This fee covers the PSA's cost to process online payments.
Total Payment:
Total Payment:

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USD

Pay with Credit Card

Please click one of the PayPal options to complete payment and submit the form.

2021 Membership Application