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OFFICIAL
ENTRY FORM
2011 Lee King Benefit
Tournament
PRINTABLE ENTRY FORM - PAYMENT MUST ACCOMPANY ENTRY
FORM
EARLY ENTRY FEE -
$110
DAY OF TOURNAMENT - $135
ENTRY FEE INCLUDES BIG FISH
Partner 1
Name
________________________________________________________________
Address
______________________________________________________________
City
_________________________ State _____________ Zip
___________________
Home Phone ____________________ Email ________________________________
Make of Boat & Motor ___________________________________________________
*Pay By
Credit Card (5% Fee)
__MasterCard __Visa __Discover
Card Number _______________________________________ Exp. Date
__________
Partner 2
Name
________________________________________________________________
Address
______________________________________________________________
City
_________________________ State _____________ Zip
___________________
Home Phone ____________________ Email ________________________________
*Pay By
Credit Card (5% Fee)
__MasterCard __Visa __Discover
Card Number _______________________________________ Exp. Date
__________
I/WE the undersigned assume
all risks associated with the tournament and release LEE KING BENEFIT
TOURNAMENT, the sponsors and tournament officials from all claims of
injury and/or damage incurred in connection with this tournament. I/WE
also understand that the tournament committee reserves the right to
reject my/our entry for any reason, and upon such rejections, refund
my/our entry fee.
We further agree to take a polygraph test should
I/WE be asked.
I/We have read the RULES of this
tournament.
Partner 1 Signature
_______________________________________ Date ___________
Partner 2 Signature
_______________________________________ Date ___________
Signature of parent/legal guardian
if not 16 years of age __________________________ | 