PERCY PRIEST HYBRID AND STRIPER CLUB
Registration Form

 Click here for a PDF copy of this form.

Name

Address



Phone number

e-mail address

Spouse's name

Children under 18

How did you find out about us?
Friend Friend's name?
Business Card Where did you get the card?
Website How did you find the site?

Knowledge Level
 How long have you fished for stripers and hybrid? _____________ (number of years)
Do you own a boat? Yes     No
Are you interested in fishing tournaments? Yes     No
Do you need a partner? Yes     No
What are you looking to get from the club (i.e., fish patterns, how to, friendship)?
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Send this form and a check for $20.00 to:

        Percy Priest Hybrid and Striper Club
        c/o Edward Hance
        880 Hwy 269 E, Christiana Road
        Christiana, TN 37037

Once your membership is received, you will be added to the mailing list and will receive monthly newsletters, fishing reports, and e-mail notices. You will also be able to attend Club functions such as tournaments, meetings, seminars, and the annual BBQ and fish fry. Spouses and children under 18 years of age are covered under a paid membership.