TENNESSEE TEAM ENTRY

 

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 .                                       

 

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 .                            

 

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 $330.00 MAIL TO

TENNESSEE FEDERATION NATION

C/O CHARLES GRAYBEAL JR

P O BOX 712

ERWIN TN 37650

MAKE CHECKS PAY ABALE TO TENNESSEE FEDERATION NATION