2022 OUTCASTS DFW BASS CLUB

 

Membership Application

 

Annual dues are $30.00 per person.  Membership automatically expires on December 31 of each year.

 

 

Name:  ________________________________________________

 

Mailing Address:  ________________________________________

 

                              ________________________________________

 

Work Phone:  ______________________________

 

 

Home Phone:  ______________________________

 

 

Cell Phone:  ______________________________

 

 

E-Mail Address:  _______________­­­­­­­­­­­­­­­­______________­­­_________

 

 

 

 

I have read and signed an Outcasts DFW Bass Club Agreement and Release Form and understand my responsibilities for participation in the Bass Club.

 

 

 

 

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Applicant Signature

 

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Date