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* LONG LAKE OCT 6, 2007  8:00 AM TO 2:00 PM.
* $60/2 PERSON TEAM (LIMIT 16 BOATS).
* WI. BASS FEDERATION RULES WILL APPLY.
* ALL MONEY RETURNED.
* AWARDS WILL BE AT THE HARVEST MOON TAVERN IN CENTURIA WI.
* FOOD WILL ALSO BE SERVED AFTER THE TOURNAMENT.

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PAY BACK

BASED ON A FULL FIELD OF 16 BOATS YOU CAN ALSO SEND YOUR BIG BASS POT MONEY OF $10.00 PER BOAT WITH YOUR ENTRY FEE. IT WILL SAVE TIME AT THE LANDING.

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JUST COPY THE ENTRY FORM TO NOTE PAD OR ANY OTHER WORD PROCESSOR AND PRINT IT.

ENTRY FORM

OFFICIAL ENTRY BLANK (Please Print)

Name_____________________________

Address___________________________

City______________________________

State____________ Zip___________

Signature____________________________ Signature_________________________

E-MAIL_____________________________ E-MAIL__________________________

In signing this form, you hereby waive and release all other contestants, the host, sponsors and tournament officials from all claims of injury and or damage incurred in connection with this tournament. You further understand and agree to abide by the rules of this tournament and we recognize the right of the tournament officials to reject any entry. Having acquainted yourselves with the rules, please make your check payable to :

LEONARD ERICKSON Send checks to:

LEONARD ERICKSON

700 UTAH AVE.

NEW RICHMOND, WI 54017-1044

SEND AS SOON AS POSSIBLE.

FOOD WILL BE SERVED AFTERWARDS.

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Contact Information

HARVEST MOON TAVERN 715 646 2558 or

 {email}  Electronic mail address

           basshog@frontiernet.net

Home phone

715-246-4065

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