If you are interested in becoming a member of First Bassmasters of Sullivan County, please print out, then complete the form below and mail your application to the address below. Applications are being considered on a first come, first serve basis. We will contact you with further information regarding annual dues, meeting schedules, etc.
Name:
Date of Birth:
Day: Moth: Year:
B.A.S.S.#:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:
Boat:
Yes No If yes, complete the following:
Manufacturer:
Model/Length:
Engine Make/HP:
Prior Club:
Yes No If yes, complete the following:
Club Name:
From: To:
How did you hear about 1st. Bassmasters of Sullivan County?
Noam Freedman
17 Greenwich Avenue
New York, NY,10014
Bass Tournament Fishing in the heart of the Catskills