Angler 1 Birthdate Address City State Zip Phone SSN |
Angler 2 Birthdate Address City State Zip Phone SSN |
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Mail This Entry Form To: Vernon Ward 147 Brewer Circle Mary Esther, FL 32569 Phone: 850-244-3894 |
Entry Fee = $160 per team (includes Big Bass) Membership Fee = $30 per person Membership is good for all 2011 season events |