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2008 Teams Rules Anglers
Profile Team
TOC
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2006 100% BASS
Membership Registration and Tournament Entry Form Tournament Lake:________________ Event Date:___/___/___ Boat Make:________________ Motor Make:_________ Horsepower:_______ Troll Motor:________ Electronics:________ Pro Name:_________________________________ Am Name:__________________________ Address:____________________________________ Address:_____________________________ City, St, Zip_________________________________ City,St,Zip:___________________________ Phone(___)___________SSN:____________________ Phone(___)_______________SSN:________ PRO - E-MAIL Address: __________________________________________________ AM - E-MAIL Address: __________________________________________________ Membership: $40 per person__________________________________ $___________ Entry Fee: Pro ($150) – ______________________________________ $___________ $20 Big fish option ____________________________________ $___________ $10 option __________________________________________ $___________ $20 option __________________________________________ $___________ $30 option __________________________________________ $___________ $40 option __________________________________________ $ ___________ $5 Insurance (mandatory Pro only)_______________________ $___________ Entry Fee: Semi -Pro ($75) – _______________________________ $___________ $20 Big fish _______________________________________ $___________ $10 option ________________________________________ $___________ $20 option ________________________________________ $___________ $30 option ________________________________________ $___________ Total Due $___________ Make
Checks Payable to 100% BASS – P.O. Box 2583 Grass Valley, Ca. 95945 -
(530)-274-1397 Please sign below for release of liability and polygraph waiver Boater:____________________________ Date:___/___/___ Non Boater:____________________________ Date:___/___/___ |