Membership Form
| Name:_____________________________________________________ |
| Mailing Address:____________________________________________________ |
| City:______________________________________Zip:______________ |
| Home Phone:____________________________________________________ |
| Cell Phone:____________________________________________________ |
| Birthday MM/DD_________________ |
| Work Phone:____________________________________________________ |
| Email:____________________________________________________ |
| Boater Non-Boater:________________________________________________ |
| ______I wish to join or renew my membership - $30 Annual Fee |
TOTAL ENCLOSED $_______________
Membership Form and Bring
Form with check/money order
to Dallas Bass'n Gals
Meeting