2012 Bloodydecks Yellowtail Shootout
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2012 Bloodydecks

Yellowtail Shootout

Entry Form

Use this online form to fill out your team information and pay by credit card or paypal.
Just fill out the form and hit SUBMIT at the bottom and make your payment. It's that easy.

1. Fill out form
2. Pay with Visa/MC/Amex or paypal. If paying by check click HERE for printable form.
3. You will receive a confirmation of your entry and payment via e-mail
4. Team Captain MUST provide a valid email address to receive confirmation and tournament updates.

TEAM/ BOAT INFORMATION

TEAM NAME

BOAT NAME

 

BOAT DESCRIPTION

 

Brand

Size

Number of Engines

Engine Brand

ANGLER 1 Captain

Sex

D.O.B

Shirt Size

Name

Address

City

State

Zip

 

 

Home Phone

Work Phone

Email

I have read, understand and agree to all tournament rules and
I agree to be responsible for the actions of myself and my entire team.  Rules

Date

ANGLER 2

Sex

D.O.B

Shirt Size

Name

Address

City

State

Zip

 

 

Home Phone

Work Phone

Email

 

 

ANGLER 3

Sex

D.O.B

Shirt Size

Name

Address

City

State

Zip

 

 

Home Phone

Work Phone

Email

 

 

ANGLER 4 (+$100)

Sex

D.O.B

Shirt Size

Name

Address

City

State

Zip

 

 

Home Phone

Work Phone

Email

 

 

ANGLER 5 (+$100)

Sex

D.O.B

Shirt Size

Name

Address

City

State

Zip

 

 

Home Phone

Work Phone

Email

 

 

ANGLER 6 (+$100)

Sex

D.O.B

Shirt Size

Name

Address

City

State

Zip

 

 

Home Phone

Work Phone

Email

 

 

TOURNAMENT ENTRY FEES

 

Each Angler will receive:

 

 Tournament Entriy

 After Party Ticket

 

 Official T-shirt

 Raffle Ticket

 

 Official Visor

 

 

 Angler Goodie Bag

 

     
     
     
  Additional Awards Party Ticket    x $20 =
  (extra Awards Party tickets MUST be purchased in advance)

Entry Fee

$300

 

 

 

 

Angler A Captain

included

Angler B

included

Angler C

included

Extra Angler D ($100)

Extra Angler E ($100)

Extra Angler F ($100)

 

 

Total Regular Fees $

Optional Jackpots

These additional prize categories are elective. Every prize is a 90% payout. For more details see the tournament rules.

Optional $500 Jackpot

 

Jackpot ($500)

$

Optional $300 Jackpot

 

Jackpot ($300)

$

Optional $100 Jackpot

 

Jackpot ($100)

$

 

Additional Prize Fees

Grand Total Fees $

 
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