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Larry Larsen

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For more books on fresh and saltwater fishing, visit www.larsenoutdoors.com

Peacock  Bass  Association
 Executive Director: Larry Larsen


Contact Listing Only Information Form
Submit Electronically (if CC Pd)  OR  Mail-In with Check only

Credit Card payers - Once you have paid through our Shopping Cart, you still have to fill out this Information Form and click the "submit Electronically (if cC Paid)" button below to Electronically send us your info.

Check By Mail Payers - If you are paying by check, you must fill out the information, print the form and send it along with your check via USPS mail to Larry larsen, 2640 elizabeth place, lakeland, fl 33812.

      1 year Supporting Membership (CLO) or renewal dues - $75

       2 year Supporting Membership (CLO) or renewal dues - $120

       Existing PBA Supt'g members - check here if this is a renewal

All Supporting Membership Dues are for the full Calendar year (e.g. 2016, 2017). If you sign up mid -year, please call for the additional prorated dues cost in order to make your check in the correct amount. There is a one year minimum for PBA Dues.

We are requesting the following data format for directory consistency:

    Name of Booking Contact or Industry Manufacturer

    Name of Individual Contact (for PBA records only)


    City   State   Zip

    Country              Phone

    e mail



    Print this Membership Form - mail with Check (or Money Order) ONLY to:

    Larry Larsen, 2640 Elizabeth Place, Lakeland FL 33812.
    Any questions, please email me at larry@larsenoutdoors.com


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All rights reserved © 2001-2017 Larry Larsen.  No part of this website may be reproduced or transmitted in any form or by any means without permission in writing from the association. Factual information, names, addresses and telephone numbers are subject to change and often do. We have tried to bring you the most updated information available. The Peacock Bass Association is not liable for problems associated with the reliability of information provided on our website or printed materials.

Peacock Bass Association (PBA)