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Make checks payable to Tournament Fishing Times Angler Information (Please print clearly) Captain Partner Name: Name: Address: Address: City: City: State/Zip: State/Zip: E-mail: E-mail: Phone #: Phone #: Social Security #: Social Security #: 2011 Tournament Date Saturday, August 20th Horseshoe Bay Resort on Leech Lake, MN Fees/Payments Entry Fee Balance Due August 19th, 2011 Pay in full by July 20th to be eligible for the boat draw. All other entries due by Aug 19th, 201.

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