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ATTN: PROSPECTIVE OR RENEWING CAPTAINS

Please bear with us as we work diligently to complete application and streamlining of this form.  Soon you will be able to pay for your annual membership and provide us with copies of your Captains License and Proof Of Insurance online.  For the time being, please mail a copy of both, Captains License and Proof Of Insurance along with a check made out to "Louisiana Charter Boat Association" for $100.00 to:

L.C.B.A. I.C.O./Capt. Mary Poe    150 Junius Granger Road
Lake Charles, Louisiana 70607

L.C.B.A. Online Application

After completing this application you will need to follow the mailing instructions above.

Please provide the following contact information:

First Name
Last Name
Middle Initial
Title
Charter Company  
Street Address
Address (cont.)
City
State
Zip/Postal Code
Parish/County
Work Phone
Home Phone
FAX
E-mail
Web Site URL

Fishing Locations In Louisiana (Check):

South Central
South East
South West

Please Choose Types Of Fishing:


List Species Caught:


List Types Of Fishing You Specialize In:




Copyright © 2005 Mark Zehring [Z-MAN ENTERPRISES]. All rights reserved.
Revised: February 10, 2008

 

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Send mail to Mark Zehring computerepair@cox.net with questions or comments about this web site.
Copyright © 2005 Louisiana Charter Boat Association
Last modified: October 29, 2007