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Home
Christmas Party
Board Members
Membership
Shag Lessons
NewsLetter
Photos
Sponsorship
Business Ads
Area Shag Clubs

Bass Lake Shag Club

Membership Application

First and Last Name

Email

Street Address

City, State, Zip Code

Home Phone

Work Phone

Mobile Phone

Your Birthday

Spouse's Name

Anniversary (Month/Date)

Spouse Birthday

Spouse Email

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Thanks for joining Bass Lake Shag Club

Couples Membership

$50.00

Pay with PayPal or a debit/credit card

Single Membership

$25.00

Pay with PayPal or a debit/credit card

Print Application

BASS 2019 Membership Application (pdf)

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