NORTHEAST BASS ASSOCIATION of NH       
                                        MEMBERSHIP DUES - 2010                                        


The membership dues for  NEBA of NH is $25.  The discounted family rate is $40 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 2010 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, 2010

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 2010
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.  April 1,2010 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 $55 for State Fed. Nation and National Dues.  (Make check payable to NEBA of NH.)  $25
is for State dues. We forward $30 to National for you                                             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