FLUKE TOURNAMENT REGISTRATION FORM

Please fill out the form below to enable us to control the registered captains and notify all concerned of results and functions during and after this tournament. Read the rules, complete this form then deposit it in the locked box or mail it to the Tamaqua Marina along with your $125.00 registration fee. If you have any questions, please see Mike Taylor , Sr. or call 718-646-9212.


REGISTRATION FORM
please print

Captain's name ________________________________________________

Address _______________________________________________________

City, State, & Zip _______________________________________________

Telephone # _____________________ E-mail ________________________

Boat Name _______________ Boat size and make ___________________

Marina where boat is berthed ____________________________________

Place completed forms in lock box with $125.00 registration fee at Tamaqua Marina. Thank You.