October 24-25 at Sam Rayburn, Texas
Official Media Bass Team Championship Entry Form (Enter With Credit Card)
Angler 1

Birthdate    
Address
City
State Zip
Phone
SSN
Email
Angler 2

Birthdate    
Address
City
State Zip
Phone
SSN
Email

Tournament Options

Cost
Team Championship Package - $220
Includes T-Shirts, Caps, Koozies, and Weigh Bag and B.A.S.S. Team Championship Membership
-
Please Include an additional $2 for XXL and $3 for XXXL sizes.

Your Total Is:

Entry must be received by Monday before Tournament for exact T-Shirt size
Make Checks Payable to: Media Bass
Mail This Entry Form To:
Media Bass
3309 Riverview
Mesquite, TX 75181

Phone: 972-222-2207
Email

 All Entry Fees Include Daily Big Bass Pot
Team Championship Fees
Championship Package = $220

Official Media Bass Championship Entry Form (Enter With Credit Card)

MediaBass.com - 3309 Riverview - Mesquite, Texas 75181
(972)222-2207