11.11.2012 Views

END OF DAY RE-ENTRY - TOP FIFTY PIKE SERIES

END OF DAY RE-ENTRY - TOP FIFTY PIKE SERIES

END OF DAY RE-ENTRY - TOP FIFTY PIKE SERIES

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<strong>TOP</strong> 50 // THE FASTEST GROWING <strong>SERIES</strong> IN ONTARIO20<br />

twelve<br />

SFRGC (Lavigne)<br />

SATUR<strong>DAY</strong> JUNE 9 TH 2012<br />

LAKE NIPISSING (NORTHWEST AND MIDDLE WEST BAY)<br />

<strong>ENTRY</strong> FEE: $230<br />

CONTACT:<br />

Mike O’Connor 705.594.1115<br />

<strong>OF</strong>FICIAL <strong>ENTRY</strong> FORM - PLEASE PRINT CLEARLY, AND FILL IN ALL INFORMATION.<br />

Team Captain: __________________________________<br />

Address: _______________________________________<br />

City/Town: ______________________________________<br />

Postal Code: ____________________________________<br />

Phone #: _______________________________________<br />

Email:__________________________________________<br />

2nd Team Member: ______________________________<br />

Address: _______________________________________<br />

City/Town: ______________________________________<br />

Postal Code: ____________________________________<br />

Phone #: _______________________________________<br />

Email:__________________________________________<br />

I, the undersigned have read the rules and procedures<br />

concerning this event and will obey them. I also waive the<br />

host club, other competitors ,sponsors and tournament<br />

officials from all claims and injury and or damage incurred in<br />

connection with this event. By my signature I will follow and<br />

obey the rules procedures and waiver(s)<br />

________________________________________________<br />

Signature of Captain<br />

________________________________________________<br />

2nd Member Signature<br />

PLEASE MAKE <strong>ENTRY</strong> FEE PAYABLE TO:<br />

Sturgeon Falls Rod and Gun<br />

P.O. Box 6192 • Sturgeon Falls, ON • P2B 3K6<br />

No post-dated cheques, last minute entries cash only.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!