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.
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:
700 UTAH AVE.
NEW RICHMOND, WI 54017-1044
SEND AS SOON AS POSSIBLE.
FOOD WILL BE SERVED AFTERWARDS.
HARVEST MOON TAVERN 715 646 2558 or
Electronic mail address
Home phone
715-246-4065
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