Texas BASS Federation

2006 Berkley Big Bass Registration Form

For Use by Texas BASS Federation Directors Only
Bass Must be Caught in a Federation Event

Angler Information
Name :
Address :
City :
State :
Zip :
Phone :
Email :

Tournament Information
Tournament Date :
Tournament Lake :

Fish Information
Bass Species :	Largemouth Smallmouth Spotted
Weight :
Length :

Product Information	Berkley Products Only
Fishing line "Big Bass" caught on Please list--type,test and color
Fishing lure "Big Bass" caught on Please list--type,size and color

State Federation Information
Region Name :
Director's Name :
President's Name :

Forward information to	Pure Fishing Attn: Steve Smith 1900 18th St. Spirit Lake, IA 51360

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Last Updated: Thursday November 22, 2007 9:34 PM