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Get OFFICIAL ANGLER REGISTRATION FORM - 2012 TOURNAMENT - Fishing4acause

Ration (Complete Sections B & C only) SECTION A MAKE, MODEL & SIZE BOAT REGISTRATION NUMBER BOAT NAME Check here to request complimentary boat slip at Pope s Island Marina. Boat Slip will not be reserved if left unchecked. HOME PORT SECTION B TEAM CAPTAIN OR KAYAKER FIRST NAME M.I. LAST NAME ADDRESS CITY / STATE / ZIP CODE PRIMARY PHONE NUMBER EMAIL SECTION C METHOD OF PAYMENT: Visa MasterCard Discover Check Enclosed Make check payable to: Schwartz Center for Children Amer.

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