Online Membership form

showmebassclub

Online Membership form

For your convience, you now have the ability to submit your Membership Form and pay your dues online. Please fill in ALL appropriate lines to assure proper and quick processing of your membership. There will be a $1.10 service charge for processing this payment for a total of $26.10.

Membership Form

Member Information and Application Form

Name:	Home Phone:	Cell Phone:
Address:	City:	State:
Email:	Zip:

Experience in tournament Fishing? Very Some What None

What kind of tournaments have you fished? Circuit Another Club Charity

How many tournaments do you fish a year? 10 or more 5 to 9 5 or Less

What type of angler are you? Competitive Recreation Family

Have you ever fished a circuit like FLW? Yes No

Check: Boater Partner Alternate Spouse Kid

Boat Make:		Motor Info:
Boat Registration:
Boat Insurance Policy:		Policy #:
Policy Renewal Date:
Who are you fishing with?

By signing this form, I waive and release all other contestants, sponsors, and tournament officials from all claims and injuries and/or damages incurred in connection with the Show Me Bass Club. I also maintain liability insurance and have verification of insurance on the boat I will be using in these tournaments.

Signature:

Date:

Send in your $25.00 membership fee along with this form,and make checks Payable to: Show Me Bass Club or Submit your Application online and pay through PayPal.