TENNESSEE FEDERATION NATION STATE TOURNAMENT ENRTY

 

CLUB NAME                                                                                                                                                   .

CLUB NUMBER                                                      . DATE                                                                           .

HOTEL WHERE TEAM IS STAYING                                                                                                          .

PHONE AT HOTEL OR CELL PHONE WHERE YOU CAN BE REACHED                                   

.

Boater 1

NAME                                                                                                                                                              .

ADDRESS                                                                                                                                                       .

PHONE / E MAIL                                                                                                                                           .

BASS #                                                                              EXPIRATION DATE                                       .

Boater 2

NAME                                                                                                                                                              .

ADDRESS                                                                                                                                                       .

PHONE / E MAIL                                                                                                                                           .

BASS #                                                                                 . EXPIRATION DATE                                    .

Boater 3

NAME                                                                                                                                                                .

ADDRESS .                                                                                                                                                     

PHONE / E MAIL .                                                                                                                                         

BASS # .                                                                                 EXPIRATION DATE .                                

 

Boater 4

NAME .                                                                                                                                                            

ADDRESS .                                                                                                                                                    

PHONE / E MAIL .                                                                                                                                       

BASS # .                                                                                       EXPIRATION DATE .                        

 

NON- Boater 1

NAME .                                                                                                                                                          

ADDRESS .                                                                                                                                                   

PHONE / E MAIL  .                                                                                                                                     

BASS # . EXPIRATION DATE .                                                                                                              

NON- Boater 2

NAME .                                                                                                                                                        

ADDRESS .                                                                                                                                                

PHONE / E MAIL .                                                                                                                                  

BASS # .                                                                          EXPIRATION DATE .                               

NON- Boater 3

NAME .                                                                                                                                                     

ADDRESS .                                                                                                                                             

PHONE / E MAIL .                                                                                                                                 

BASS # .                                                                          EXPIRATION DATE .                               

NON- Boater 4

NAME .                                                                                                                                                    

ADDRESS .                                                                                                                                            

PHONE / E MAIL .                                                                                                                               

BASS # .                                                                                 EXPIRATION DATE .                      

TEAM CAPTAIN

.                                                                                                                                                              

PHONE / E MAIL .                                                                                                                               

MUST ALSO SEND COPY OF INS. $300,00.00 LIABILTY WITH EXPIRATION DATE AND NAME OF INS.

ENTRY MUST BE SENT TO THE PRESIDENT WITH $400.00 MAIL TO

TENNESSEE FEDERATION NATION

C/O CHARLES GRAYBEAL JR

P O BOX 712

ERWIN TN 37650

MAKE CHECKS PAYABALE TO TENNESSEE FEDERATION NATION