2007 $175 Region 1 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:(______)________

Signature:________________________________________

 

ANGLER 2

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

Address:_________________________________________________

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

Signature:___________________________________________

 

Team Entry (Includes big fish)
$175
$
Angler's Choice Memberships
$45 Each
$
Angler's Choice Family Membership
$75
$
Option 1-$15
$15
$
Option 2-$30
$30
$
Option 3-$40
$40
$
Total
$

You must sign a liability waiver at the tournament.
Make checks out to Tournament Director.