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KBF Jr Membership Form

 Kentucky Junior Bassmasters

Membership Form

Name: ___________________________________________________-

Address: __________________________________________________

City: __________________________ ST: _____ Zip: _______________

Home Phone: ______________________________________________

Cell Phone: ________________________________________________

Date of Birth: ______________________________________________ required

email address: ___________________________________________________

Jr Program Age Group 11-15 years of age:       Premium Membership $35.00

Mail check or Money order (No Cash Please) to: (MAKE CHECK PAYABLE TO KBF, INC.)

KY Jr Bassmasters

% Tom Whittington

108 Knob Hill Road

Horse Cave, KY 42749

 

 

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