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MEMBERSHIP FORM
PRINTER FRIENDLY VERSION

NATIONAL BASS WEST
P.O. BOX 1151 VALLEY CENTER, CA 92082
(please print legibly)

NAME___________________________________________________________

ADDRESS________________________________________________________

CITY_____________________________________ZIP_____________________

PHONE____________________________________________________

EMAIL_____________________________________________________

SOCIAL SECURITY #_________________________________________

INDIVIDUAL $35
EACH ADDITIONAL FAMILY MEMBER $20

Memberships are from October 5 to October 4th of every year. You must be a member in good standing to be eligible to compete in National Bass West  events. By accepting this membership you agree to abide by all NBW rules, Department of Fish and Game, state and federal laws as well as any local or lake laws.


Official use only

Date card sent_________________

 
 

 

National Bass West, Inc.
Phone: 760-497-8238
P.O. Box 1151
Valley Center, Ca. 92082 USA

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