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 *

Deadline to pay calcuttas is 6pm October 23rd.

All calcuttas must be paid for online via credit card

ENTRY FEES (all fees include a 3.5% credit card processing fee)

Inshore Entry Fee $ 517.50

Big Fish Calcutta $ 103.50

Optional. 50/30/20 Split

High Roller Calcutta $ 258.75

Optional. 50/30/20 Split

Closest to 22lbs Calcutta $ 103.50

Optional. Winner takes all. You may weigh in a separate fish for this calcutta if you wish.

Aggregate Competition (2 fish agg) $ 258.75

Best 2 fish aggregate for Fall 2020 and Spring 2021 Wild West. Optional. 50/30/20 Split

Free Angler Armory Contest - Closest to 20.20lbs (team must be Angler Armory Members by Oct 22nd) Free

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Checks for winners will be written out to team member that filled out the required W9 form.
I have read, understand and agree to the rules of the 2020 Wild West King Rush Tournament
The person signing this application further agrees that he/she is responsible for themselves, boat & crew at all times.
Participants hereby release the Wild West King Rush Tournament and Angler Armory, Inc, its volunteers & sponsors from all liability.
I further understand that the decision to fish is the responsibility of the Captain and/or anglers.
I have agreed to submit this application by electronic means. By signing this application electronically I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge.

I also certify that I understand the questions and statements on this application.
I have read and understand the rules for the Wild West King Rush Tournament.
I understand the penalties for giving false information or breaking the rules.
I understand that an electronic signature has the same legal effect and can
be enforced in the same way as a written signature.

Electronic Signature

First Name Last Name

Please verify that you are human *