2023 PSA Membership Application

2023 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 NameLast Name
Spouse:

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

Street Address

Street Address Line 2

CityState

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

EmailRegular 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 TournamentMini-tournament weigh-insTeach a Kid EventLadies ClassicChannel Light MaintenanceServing on the Board of Directors
Payment
Subtotal:
Processing Fee:
This fee covers the PSA's cost to process online payments.
Total Payment:
Total Payment:

prevnext( X )
USD

Payment Methods

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

2023 Membership Application