NORTHEAST BASS ASSOCIATION of NH       
MEMBERSHIP DUES - 2009                                           


The membership dues for  NEBA of NH is $25.  The discounted family rate is $35 which
includes spouses and children living at the same address.  Membership effective date is
February 1st of the current year to January 31st of the following year.  Dues must be current in
order to participate in a NEBA Trail event.  Membership in NEBA of NH is not required to fish a
NEBA of NH sanctioned Open Tournament.  Dues will be used to cover the expense of running
NEBA of NH tournaments.
Check www.nebaofnh.com for all the details on 2009 Trail and Open events. Contact Joe
Catalano at Granite State Tackle with questions 603-880-6031.

Name:  __________________________________________________________

For Family Registration: Spouse/Child: _____________________________

Street Address:  __________________________________________________

City:  ___________________________State:  _______________  Zip _______

Home Phone:  (_____)  _____ - _____Work Phone  (_____)  ________

E-mail:  __________________________________Cell #_________________
Payment requested by April 1, 2009
NEBA Of NH Club Membership  ( OPTIONAL ):
NEBA OF NH members are being provided the opportunity to join the NEBA of NH club and
become part of the New Hampshire BASS Federation Nation.  In addition to the BASS
Federation Nation membership benefits provided, NEBA of NH club members will be eligible to
fish the 2009 NH BASS Federation Nation State Team Qualifier in August.  For more details on
this opportunity contact Alan Cushing at (603) 528-8659 or casts4bass@aol.com.  Feb. 15th
,2009 is the absolute deadline for this option.
_____  Yes I want to take advantage of this opportunity        Bass #  _________
Requirements to fish STQT:   1.  Join BASS and provide membership #.
                                            2.  Pay $40 for State/ BASS Fed. Nation Dues.
                                                 (Make check payable to NEBA of NH. )                                       
      
                                            3.   Indicate preference for STQT  ____ Boater(not             
                                                    guaranteed)          or             _____Non-boater                       
                                                      ____   No.  I choose not to join at this time.


Please make all checks payable to NEBA of NH and mail to :
Dave  Sheils   85 Collincote   St. Stoneham, MA 02180