Member Sign Up – Bastrop BASE

Join B.A.S.E.: Complete the membership form below to become part of the Bastrop Association of Sheriff’s Employees. Your dues support member programs, community outreach, and events throughout the year. A welcome email will be sent once your signup is complete.

Member information Division Veteran?

Yes No

Employee number Date of birth

First name

Last name

Phone Personal email Use a personal email, not a county work address.

Address Street address Apartment, suite, etc. (optional)

City

State

ZIP

Subscription type Bi-Weekly $6.00 — $6 every 2 weeks Monthly $12.00 — $12 each month Every 6 Months $72.00 — $72 every 6 months Yearly Charge $144.00 — $144 each year

T-shirt size Size

Guest checkout — no account needed. Dues are billed to the B.A.S.E. Stripe account. Card details are entered on Stripe’s secure page.

PROTECTING THOSE WHO PROTECT US

512-466-0456

[email protected]

489 Agnes St. Ste 112-412, Bastrop, Texas 78602

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