Kentucky Bass Federation - State Championship Entry Form

Kentucky Bass Federation State Championship Entry Form 2024

Email KBF - kentuckybassfederation@gmail.com
Required Fields = ( * )
Date Of This Form

MonthDayYear
Available Entry Types

Angler Entry Fee $105.00 ( Includes $5.00 Internet Convenience Fee )

Co-Angler Entry Fee $70.00 ( Includes $5.00 Internet Convenience Fee )
Name*

First NameLast Name
Address*

Address

Address 2

CityState

Postal / Zip CodeCountry
The Cut Off Date To Submit Your Online Entry Is 8/31/2024

If You Fail to Register Before This Date, You Will be Charged an Additional $25
Contact Phone Number*

Area CodePhone Number
Optional Phone Number

Area CodePhone Number
T-Shirt Size*
Size
E-mail*

Confirmation Email
1. YOU WILL BE REQUIRED TO SUBMIT YOUR SOCIAL SECURITY NUMBER AT THE STATE CHAMPIONSHIP BEFORE YOU CAN COLLECT ANY MONETARY AWARDS
You Do Not Need A PayPal Account For This Payment

(You have the option to use your credit or debit card on the PayPal Site)
Choose Entry Type *
prevnext( X )
Angler Entry Fee -$100.00

Co-Angletr Entry Fee -$65.00

Subtotal $0.00Shipping $0.00Total $0.00
By clicking the Submit Button below you will be redirected to the PayPal web site.

If you do not have a PayPal Account click on Pay with Debit or Credit Card for this transaction at bottom of the PayPal log in page after redirected.
Should be Empty:

Kentucky Bass Federation State Championship Entry Form 2024