TEAM INFORMATION

Team Name*

Captain's Name

Captain's Phone

Boat Size (LOA)*

Boat Name*

Team Contact: Angler #1

Name*:

Email*:

Phone*:

Shirt Size*:

SMLXLXXL

Check if applicable:

Lady AnglerJunior Boy Angler (6-16 years)Junior Girl Angler (6-16 years)

Angler #2

Name:

Email:

Phone:

Shirt Size:

SMLXLXXL

Check if applicable:

Lady AnglerJunior Boy Angler (6-16 years)Junior Girl Angler (6-16 years)

Angler #3

Name:

Email:

Phone:

Shirt Size:

SMLXLXXL

Check if applicable:

Lady AnglerJunior Boy Angler (6-16 years)Junior Girl Angler (6-16 years)

Angler #4

Name:

Email:

Phone:

Shirt Size:

SMLXLXXL

Check if applicable:

Lady AnglerJunior Boy Angler (6-16 years)Junior Girl Angler (6-16 years)

Angler #5

Name:

Email:

Phone:

Shirt Size:

SMLXLXXL

Check if applicable:

Lady AnglerJunior Boy Angler (6-16 years)Junior Girl Angler (6-16 years)

ENTRY FEES

General Entry (Mandatory) - $300.00Release Points Jackpot (optional) - $100.00Largest Roosterfish Jackpot (optional) - $100.00Total (All In) - $500.00

PAYMENT METHOD

Credit CardLocal Bank DepositLocal Bank Transfer (SINPE)International Wire Transfer