Membership Registration

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Membership Registration

Membership for L.M. Bass Club is $25 per member. Please complete the below form and submit payment to become a member. NOTE: Simply registering does not constitute membership. You must pay the $25 membership fee via the PayPal link located at the bottom of this page in order to become a L.M. Bass Club member.

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First Name: *

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Last Name: *

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Street Address: *

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City: *

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State: *

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Zip Code: *

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Email: *

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Phone number: *

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Emergency Contact Name: *

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Emergency Contact Phone Number: *

Your answer

Do you have a Co-Angler? *

Yes

No

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