*Family Membership: Father/Mother/Son/Daughter living in same household. Dues are $50.00 for the first member, $7.00 for each additional member per year. Maximum age for child is 17 years, 18 and older must join as a regular member.
Boat Owner or Rider?
[select one]
First Name:
Last Name:
Suffix:
Social Security #:
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Partners Name:
Other Family Members Joining Today:
Name
Date of Birth (if child)
1.
2.
Are you in a Bass Club?
Yes
No
Name of Club:
Method of Payment: Check/Money Order**Payable to: American Bass Association PA & NJ
Print this page and mail along with your check to the address below.
Please send payment to: American Bass Association PA & NJ