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2010 Saltwater Slam Registration Form
Boat Name:
Make:
Length:
Power:
Outboard
Inboard
Engine Size:
Single
Twins
Triples
Quads
Engine Make:
Are you an Average Joe Team? (see rule #25):
yes
no
Are you a family team? (see rule #31):
yes
no
Captain Information
Captain Status:
Male
Female
Junior (up to 15)
Are you an SKA member?:
yes
Captain Name:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Home Phone #:
Cell #:
Email Address:
Age:
Angler 1 Information
Angler status:
Male
Female
Junior (Up to 15)
Pee Wee (9 & Under)
Are you an SKA member?:
yes
Angler Name:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Home Phone #:
Cell #:
Email Address:
Age:
Angler 2 Information
Angler status:
Male
Female
Junior (Up to 15)
Pee Wee (9 & Under)
Are you an SKA member?:
yes
Angler Name:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Home Phone #:
Cell #:
Email Address:
Age:
Angler 3 Information
Angler status:
Male
Female
Junior (up to 15)
Pee Wee
Are you an SKA member?:
yes
Angler Name:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Home Phone #:
Cell #:
Email Address:
Age:
Angler 4 Information
Angler status:
Male
Female
Junior (Up to 15)
Pee Wee (9 & Under)
Are you an SKA member?:
yes
Angler Name:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Home Phone #:
Cell #:
Email Address:
Age:
Angler 5 Information
Angler status:
Male
Female
Junior (Up to 15)
Pee Wee (9 & Under)
Are you an SKA member?:
yes
Angler Name:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Home Phone #:
Cell #:
Email Address:
Age:
Angler 6 Information
Angler status:
Male
Female
Junior (Up to 15)
Pee Wee (9 & Under)
Are you an SKA member?:
yes
Angler Name:
Address Line1:
Address Line2:
City:
State:
Zip Code:
Home Phone #:
Cell #:
Email Address:
Age:
General Entry Fee
Early Entry (valid thru June 2nd):
$375 per boat
Late Entry (after June 2nd):
$475 per boat
NOTE: A 6% SALES TAX CHARGE WILL BE APPLIED TO THE GENERAL ENTRY FEE ONLY
Optional Entry Catgories (check only what you are paying for)
Bluewater Bonanza (heaviest combined weight):
$150 per boat
Bluewater Challenge (heaviest fish):
$150 per boat
Kay Dee Dubya (heaviest combo Kingfish, Dolphin, Wahoo):
$150 per boat
Big Three (1st, 2nd and 3rd place heaviest fish):
$250 per boat
Ante Up (60/40 split):
$250 per boat
Average Joe Bonanza (see rules for eligibility):
$150 per boat
Holy Mackerel (SKA memberships required):
$150 per boat
Authorize Payment Amount
Authorize Payment Amount: Please type in the amount you are authorizing based on the general entry fee and optional categories you have selected:
Amount
Billing Information - Credit Card (All fields are required *)
* Credit Card Type:
-- Choose Type --
Visa
MasterCard
* Credit Card #:
* Expiration Date:
-- Choose Month --
(01) - January
(02) - February
(03) - March
(04) - April
(05) - May
(06) - June
(07) - July
(08) - August
(09) - September
(10) - October
(11) - November
(12) - December
-- Choose Year --
2010
2011
2012
2013
2014
2015
* Security Code:
* Name on Credit Card:
* Billing Address Line 1:
Billing Address Line 2:
* Billing City:
* Billing State:
* Billing Zip code:
By pressing “Continue” on this entry form, all participants acknowledge that they have read and will abide by all tournament rules and further acknowledge their authorization to charge their credit card for the fees selected above. Entry fees are not refundable for any reason
Bluewater Movements, Inc.
P.O. Box 50114
Lighthouse Point, FL 33074
Phone: 954.725.4010
Fax: 954.725.4070
Email:
Click Here
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