Region 3 $150 Team Entry Form

Fill out completely and bring to the tournament event you wish to participate in.

Call your local tournament director for any details.

Region: ___________________ Lake:________________ Date: _______________
ANGLER 1

Name:________________________ S.S. #:_______-_______-______

Address:_________________________________________________

City:__________________ ZIP:_________ Phone:(______)________

Email:___________________________________________

Signature:________________________________________

ANGLER 2

Name:________________________S.S. #: ______-_______-______

Address:_________________________________________________

City:__________________ ZIP:_________ Phone:(______)________

Email:______________________________________________

Signature:___________________________________________

Team Entry
$150 $
Tournament Options
See Director $

Angler's Choice Memberships

$35 Each $
Angler's Choice Memberships (with magazine) 
$45 Each $
Angler's Choice Family Membership
$65 $
Total
  $

You must sign a membership/waiver to be eligible. Please make checks out to your Tournament Director.