2017 Toyota Bonus Bucks Bassmaster Team Championship Entry Form
This form will serve as your entry form for the Team Championship. At this time the entry fee ($500 per team) will have to be paid by check. You will need to mail that in to - BASS, ATTN Team Championship, 3500 Blue Lake Dr Suite 330, Birmingham, AL 35243. Please put both angler names in the memo of the check.
Which Team Trail did you qualify with? *
Your answer
Angler 1 Information
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State or Province *
Your answer
Zip or Postal Code *
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
Date of Birth *
Your answer
Social Security Number *
Your answer
BASS Membership Number (must be active BASS member, if not you can sign up for a BASS Membership at bassmaster.com/join) *
Your answer
Twitter Handle
Your answer
Instagram Handle
Your answer
Tow Vehicle and year
Your answer
Boat Brand and year
Your answer
Motor Brand and year
Your answer
Trolling Motor Brand
Your answer
Electronics
Your answer
Shallow Water Anchor
Your answer
Have you had a boating accident(s) in the last 5 years *
If yes, explain
Your answer
Do you have any physical impairment? *
If yes, explain
Your answer
Angler 2 Information
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State or Province *
Your answer
Zip or Postal Code *
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
Date of Birth *
Your answer
Social Security Number *
Your answer
BASS Membership Number (must be active BASS member, if not you can sign up for a BASS Membership at bassmaster.com/join) *
Your answer
Twitter Handle
Your answer
Instagram Handle
Your answer
Tow Vehicle and year
Your answer
Boat Brand and year
Your answer
Motor Brand and year
Your answer
Trolling Motor
Your answer
Electronics
Your answer
Shallow Water Anchor
Your answer
Have you had a boating accident(s) in the last 5 years? *
If yes, explain?
Your answer
Do you have any physical impairment? *
If yes, explain? *
Your answer
Submit
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