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                                       .

Non Boater 1

NAME                                                                                                                                                              .

ADDRESS                                                                                                                                                       .

PHONE / E MAIL                                                                                                                                           .

BASS #                                                                                 . EXPIRATION DATE                                    .

 

NON- Boater 1

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 $150.00 MAIL TO

TENNESSEE FEDERATION NATION

C/O CHARLES GRAYBEAL JR

P O BOX 712

ERWIN TN 37650

MAKE CHECKS PAYABALE TO TENNESSEE FEDERATION NATION