DIXIE BASS MEMBERSHIP APPLICATION
(print this page,fillout application, mail to PO Box 221,Theodore Al 36590.)
Boater - Non - Boater -
Address - Address -
Phone - Phone -
Make of Boat -
Make of Motor - HP
Make of Trollingmotor -
I WILL NOT HOLD DIXIE BASS, DIXIE BASS STAFF, or any
SPONSORS LIABLE for any injuries or damages that may incure in fishing tournaments.
Signed - Signed -