National Bass West
 

MEMBERSHIP FORM

NATIONAL BASS WEST ALLSTAR SERIES
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 Allstar Series events. By accepting this membership you agree to abide by all NBW Allstar Series rules, Department of Fish and Game, state and federal laws as well as any local or lake laws.


Official use only

Date card sent_________________