| |
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_________________
|