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World Peacock Bass Directory Destination/Operation Data
Sign Up Form
Agents: Please call (863)644-3381 to check availability of destination/operation.
1 year membership - $330.00 (Renewal at $300)
2 year membership - $594.00 (Renewal at $540)
New Memberships will be prorated to the end of a calendar year from the nearest quarter with a one year minimum. To send this
information electronically, click the submit button below or print the completed form and mail or fax to the address below. We are
requesting the following data format for directory consistency:
Booking Contact
Two Photos
We will include up to two color photos on your directory page. You may send slides or provide us with permission to
download from your website the two specific photos you prefer.
Credit Card Billing Information

Signature of card holder ___________________________________________
Submitting this form authorizes PBA to charge my card. If you prefer, you may also submit this completed form and
provide your credit card information by fax or phone.
_______________________________________
Additional Booking Agents
Outfitters only may list up to 4 additonal booking agents for a listing fee of U.S.$140 each. Please make as many copies as needed to submit your additional agents.
Supporting Members Logo for Website Use
Supporting Members in good standing may use this logo on their web pages and in
brochures and flyers to show their affiliation with PBA and the principles for which it
stands. Unauthorized use by non-members will not be allowed. Agents, outfitters,
industry product manufacturers and service providers joining as supporting members will
be emailed a copy of this logo for their web page use, and/or may download this one if it is more convenient.
To copy this logo for use on your website or brochures/flyers, simply right-click on the logo
with your mouse. Then in the window that opens up, click on "Save Picture As" and then
select the drive and file where you want to save it. The digitized logo can then be added to your web page and brochures/flyers.
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