2021 Spring Wild West Inshore Application & Calcutta Sign Up
Team Name
*
Captain Name
*
Captain Email
*
example@example.com
Captain Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Captain Phone
*
-
Area Code
Phone Number
Co-Captain Name
*
Co-Captain Email
Co-Captain Phone
-
Area Code
Phone Number
Additional Team Members
Boat Manufacturer
*
Motor Manufacturer
*
# of Motors
*
MADEIRA BEACH TOURNAMENTS: Entry fee is required at time of registration. Calcuttas may be paid for no later than April 22nd.
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Spring Inshore Entry Fee (April 24th)
$
517.50
Spring Big Fish Calcutta (April 24th)
$
103.50
Optional. 50/30/20 Split
Spring High Roller Calcutta (April 24th)
$
258.75
Optional. 50/30/20 Split
Spring Closest to 22lbs Calcutta (April 24th)
$
103.50
Optional. Winner takes all. You may weigh in a separate fish for this calcutta
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Electronic Signature
First Name
Last Name
Please verify that you are human
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