MEMBERSHIP APPLICATION

  Candidates Name: _________________________ Date: ________

  Address: ______________________________________________

  City: ___________________________________Zip: _________

  Telephone #: ____________________Work #: ______________

  Introduced By: __________________

  Boat and Motor: _________________________________

  Big Bass: __________________

  Member of B.A.S.S.: ________

    Do you promise to abide by the rules and by laws of the Orange Park North Florida Bassmasters and attend at least 50% of the Club's Tournaments and Meetings, unless properly excused?

Signed: ____________________________________

    Record of voting outcome:

    In Favor: _______

    Opposed: _______