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: ________________________________________
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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
