BLUFF’S LANDING MARINA SOUTH TEXAS REDFISH SHOOTOUT

TOURNAMENT DATES: SEPTEMBER 17, 18 & 19, 2010

REGISTRATION DEADLINE: AUGUST 31, 2010

REGISTRATION FORM

 

TEAM NAME: ________________________________________________


 

TEAM MEMBERS:

(CIRCLE T-SHIRT SIZE)

  1. NAME: __________________________________________ S M L XL XXL


 

ADDRESS: _________________________________________________________________________________


 

CITY/STATE/ZIP: ____________________________________________________________________________


 

TELEPHONE: ( ) _________________________ E-MAIL: _________________________________________


 

SIGNATURE: ___________________________________CELL PHONE: ( ) __________________________


 

(CIRCLE T-SHIRT SIZE)

  1. NAME: __________________________________________ S M L XL XXL


 

ADDRESS: _________________________________________________________________________________


 

CITY/STATE/ZIP: ____________________________________________________________________________


 

TELEPHONE: ( ) _________________________ E-MAIL: _________________________________________


 

SIGNATURE: __________________________________ CELL PHONE: ( ) ____________________________


 

BOAT CAPTAIN NAME: ________________________________________________________________

(If not on team)

PHONE: ( ) __________________ E-MAIL: ________________________________


 

TOTAL ENTRY FEE PER TEAM: $500.00 LATE REGISTRATION FEE: $100.00

FORM OF PAYMENT ACCEPTED: CREDIT CARDS/CASH/MONEY ORDER/CASHIER CHECK (NO CHECKS ACCEPTED)


 

MAKE MONEY ORDER/CASHIER CHECKS PAYABLE TO: BLUFFS LANDING MARINA


 

CREDIT CARD: MASTERCARD VISA DISCOVER (Please circle one)


 

ACCT. NO.:_____________________________________ EXIRATION DATE: ___________________


 

NAME ON CARD: ____________________________________________ AMOUNT: $____________


 

SIGNATURE: _________________________________________ PHONE: ( ) __________________


 

IF YOU PAY BY CREDIT CARD, PLEASE FAX THE REGISTRATION FORM TO (361) 937-7101 OR E-MAIL IMAGE TO: ANNETTE@BLUFFSLANDING.COM

BLUFF’S LANDING MARINA SOUTH TEXAS REDFISH SHOOTOUT

SEPTEMBER 17, 18 & 19, 2010 REGISTRATION DEADLINE: AUGUST 31, 2010

Tournament Rules

BLUFF’S LANDING MARINA & LODGE, AND ALL IT’S EMPLOYEE’S WILL NOT BE RESPONSIBLE FOR ACCIDENTS OR INJURIES DURING THE BLUFF’S LANDING “SOUTH TEXAS REDFISH SHOOT-OUT”.

______________________________________ _______________________________________

SIGNATURE PRINTED NAME


 

______________________________________ _______________________________________

SIGNATURE PRINTED NAME


 

DATE: ________________________________________