New Club Member

Personal Info

____________________________________________

First Name *

Last Name *

Date of birth

Phone *

Email *

Address *

City *

State *

Postal code *

Please list spouse and children's information below if they will be participating in any of the club events.

Spouses Name

Spouses DOB

Children's Names

Children's Respective DOB

Angler Info

____________________________________________

Are you a Boater Or Co-Angler *

Boater

Co-Angler

Boat Coast Guard #

Boat Model

Boat Make

Boater Insurance Carrier

Boater Insurance Policy Number

Co-Angler Name

Co-Angler Phone

Boater Name

Boater Phone

Dues Broken Down As Follows

$42 - Idaho Bassmaster Club Dues
$8 - Idaho State Bass Federation Dues

$15 - The Bass Federation Dues
$35 - Major League Fishing Magazine
$100 - Total

Select Bubble Below Next To 2025 Membership Dues *

2025 Membership Dues

$100

*100% secure & safe payments*

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