Register Member Full Name* First Last B.A.S.S. Number*B.A.S.S. Expiration*Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Cell Phone*If you are a member of another B.A.S.S Nation State Chapter indicate that chapter’s name here:* Not a member of B.A.S.S.® Recently applied If you are a member of another B.A.S.S Nation State Chapter indicate that chapter’s name here:*Do you own a boat* Yes No Boat Year and Model*Motor Brand*Horsepower*Are you interested in being a* Boater Co-Angler B.A.S.S.® Bassmaster General Membership information is found at https://www.bassmaster.com/membership-landing-page/ and paid directly to BASS. B.A.S.S.® Nation National dues are - $30.00/year.* B.A.S.S.® Nation State dues are - $50.00/year. * You will be considered an “At-large (Spawner’s Club) Member” until you join one of our state clubs. Make check payable to: MD BASS Nation, and mail check to: MD BASS Nation c/o Tim McGlenn, 5925 Gary Drive, Welcome MD 20693 If you have any questions: email Dick Berich, Membership Director at mdbassnation3@gmail.com Δ
