IBN Club Roster

Club Name: *

Club Charter Number: *

Club President Name: *

First

Last

Club President Email: *

Club Vice President Name: *

First

Last

Club Vice President Email: *

Club Secretary Name: *

First

Last

Club Secretary Email: *

Club Treasurer Name: *

First

Last

Club Treasurer Email: *

Add member #1:

Add a member to this roster.

Member 1 Name:

First

Last

Member 1 Address:

Address Line 1

City

State

Zip Code

Member 1 Phone Number:

Member 1 B.A.S.S. Number:

Member 1 Email:

Add member #2:

Add another member to this roster.

Member 2 Name:

First

Last

Member 2 Address:

Address Line 1

City

State

Zip Code

Member 2 Phone Number:

Member 2 B.A.S.S. Number:

Member 2 Email:

Add member #3:

Add another member to this roster.

Member 3 Name:

First

Last

Member 3 Address:

Address Line 1

City

State

Zip Code

Member 3 Phone Number:

Member 3 B.A.S.S. Number:

Member 3 Email:

Add member #4:

Add another member to this roster.

Member 4 Name:

First

Last

Member 4 Address:

Address Line 1

City

State

Zip Code

Member 4 Phone Number:

Member 4 B.A.S.S. Number:

Member 4 Email:

Add member #5:

Add another member to this roster.

Member 5 Name:

First

Last

Member 5 Address:

Address Line 1

City

State

Zip Code

Member 5 Phone Number:

Member 5 B.A.S.S. Number:

Member 5 Email:

Add member #6:

Add another member to this roster.

Member 6 Name:

First

Last

Member 6 Address:

Address Line 1

City

State

Zip Code

Member 6 Phone Number:

Member 6 B.A.S.S. Number:

Member 6 Email:

Add member #7:

Add another member to this roster.

Member 7 Name:

First

Last

Member 7 Address:

Address Line 1

City

State

Zip Code

Member 7 Phone Number:

Member 7 B.A.S.S. Number:

Member 7 Email:

Add member #8:

Add another member to this roster.

Member 8 Name:

First

Last

Member 8 Address:

Address Line 1

City

State

Zip Code

Member 8 Phone Number:

Member 8 B.A.S.S. Number:

Member 8 Email:

Add member #9:

Add another member to this roster.

Member 9 Name:

First

Last

Member 9 Address:

Address Line 1

City

State

Zip Code

Member 9 Phone Number:

Member 9 B.A.S.S. Number:

Member 9 Email:

Add member #10:

Add another member to this roster.

Member 10 Name:

First

Last

Member 10 Address:

Address Line 1

City

State

Zip Code

Member 10 Phone Number:

Member 10 B.A.S.S. Number:

Member 10 Email:

Additional Members:

Click or drag a file to this area to upload.

If you have additional members to add, please click here to download the roster spreadsheet template (Excel file). Upload your completed file above.

Terms & Conditions: *

I agree

1. All members on this roster, and witnessed by the club president as doing so, give the IBN and BASS LLC and all affiliates the right to use their Contact information and likeness in any / all media outlets and Sponsor Programs 2. As President, I certify that the information above is correct and members marked as Associate Members are also members of another organization in competition with B.A.S.S.

IBN Club Roster

Complete the form below to submit a club roster for the Illinois B.A.S.S. Nation or click here to download the roster spreadsheet template (Excel file) and upload your completed file below.