Join Crown City Bassmasters :: Bass Fishing Club in Cortland, NY

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Membership Form		Please fill out the following form, and mail it, along with your dues check. Form may be submitted by an individual, or by both partners on one form.

Partner #1 (or individual boater or non-boater):
	Name:
	Address:

	City:	State:	Zip:
	Phone:		Email:
	B.A.S.S. Membership #
	Boat Make:		Length:
	Engine Make:		HP:

Partner #2:
	Name:
	Address:

	City:	State:	Zip:
	Phone:		Email:
	B.A.S.S. Membership #
	Boat Make:		Length:
	Engine Make:		HP:

In signing this application for membership, I agree to be bound by and comply with all tournament rules and regulations. I expressly assume all risks associated with the tournaments and hereby release Crown City Bassmasters, sponsors and tournament officials from all claims or injury and/or damage incurred in connection with these tournaments. I further understand and agree that Crown City Bassmasters reserves the right to reject my application for any reason and upon such rejection, will refund this membership fee.

Signature #1:_____________________________________

Signature #2: _____________________________________