Boater Name
Address
City
State
Zip
Email
By checking this box you have agreed to all terms & conditions
New Member
Returning Member
Alternate
City
Address
State
Zip
Email
New Member
Returning Member
Alternate
By checking this box you have agreed to all terms & conditions
Model
Year
Year
HP
Outboard MFG
Tournament Lake:
Tournament Lake:
Tournament Lake:
Tournament Lake:
Tournament Lake:
Boat MFG
Date
Date
Date
Amount
Date
Date
Amount
Amount
Amount
Amount
Phone
$30.00 Membership Fee must be renewed each year.
They are valid for one season and will expire after the last regular division tournament for that particular season.
*Only check if you are paying for a membership*
Membership:#1
Membership:#2
Please specify below which lake(s) and date(s) you are entering.
Sponsors
Partner Name
Phone
Sponsors
Social Sec #
Social Sec #
