test form

Name of Contestant
First Name *
Last Name *
Address *
Address *
City *
State *
Zip Code *
Contact Info
Phone *
Cell *
Email Address *
Club Name
FLW and/or TBF Number
Tournament Name
Tournament Date
Boater
Boat Brand/Model
Horsepower
Reg. Number
Ins. Company
Policy Number
Exp. Date
Co-Angler
Observer
General Release Waiver and Hold Harmless Agreement: (Must check to indicate have read and agrees to terms).
Signature to that you have read On-line Application form and Agree to Terms: (Must check to indicate have read and agrees to terms and all personal information is correct).
Remit Payment to PayPal: : (PayPal Link, click to pay, unless payment received will not be allowed to fish).

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