Ray's Sport & Marine 2016 GRAHA Walleye Shootout - Formstack

Team Member 1 Information

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Email

Signature

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Date

Team Member 2 Information

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Email

Signature

Use your mouse or finger to draw your signature above

Date

Boat Information

Boat Year

Boat Make

Boat Model

Motor Year

Motor Make

Motor Model

How did you hear about the Walleye Tournament?

Team Sponsor

Entry Fee $

Registration fee: $400.00 per two person team.

(The fee must be paid via PayPal in advance.)

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