Name (required) First Last
Email Address (required)
Confirm Email (required)
Phone Number (required)
Address (required) Address City State Zip
Age (required)
Boater or Co-Angler (required) BoaterCo-Angler
What type of boat do you own?
What make and horsepower is your motor?
Are you a member of B.A.S.S.?
If Yes, please provide membership number
Are you a member of the Maryland Bass Nation?
Please tell us a bit about yourself and why you would like to join CCBM
Once you submit your application, we will contact you shortly to complete your membership application.
Thank you!