Angler #1 Name__________________________________ Shirt Size_________
Address____________________________________________________________
City_____________________________________ State________ Zip__________
Telephone (Home)____________________ (Work or Cell)___________________
Email Address______________________________________________________
Angler #2 Name__________________________________ Shirt Size_________
Angler #3 Name__________________________________ Shirt Size_________
Captain's Name__________________________________ Shirt Size_________
Address___________________________________________________________
Boat Name__________________________________________________________
Docked at During the Tournament____________________________________
I certify that I have read the rules & agree to abide by them including rules #18 & #19.
Angler #1 Signature____________________________________________________ Angler #2 Signature____________________________________________________ Angler #3 Signature____________________________________________________ Captain's Signature____________________________________________________
(For additional anglers please copy this form)
TOTAL AMOUNT ENCLOSED $___________
Make checks payable to:Islamorada Charter Boat Assoc. (I.C.B.A.) P.O. Box 462, Islamorada, FL 33036
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