Fly Tying Academy Registration

Team/Company Name *

Team Members

Team Member #1 Team Member #2

Email *

Phone Number *

T-shirt Size *

Small Medium Large X-Large XX-Large

Mailing Address *

Street Address

Street Address Line 2

City State

Zip Code

Select the day you'll fish (disregard if you're a sponsor):

Thank you for your support and generosity!

Team Entry - Entry for (2) people into the tournament - 2 Raffle Tickets

$ 100.00 Quantity
Item subtotal: $ 0.00

Bronze Tier Sponsor -- 5 Raffle Tickets -- Your name on a T-Shirt

$ 100.00

Silver Tier Sponsor - 1 Free Team Entry to Tournament - Logo on T-Shirt - 5 Raffle Tickets

$ 250.00

Gold Tier - 1 Free Team Entry in the Tournament - Logo on T-Shirt - 10 Raffle Tickets - Name Recognition on trophy/plaque at AZ Fly Shop---WINNERS

$ 500.00

SWAG BAG!! Each participant will receive a SWAG BAG at check on the day of the event with event details and cool stuff from the sponsors. By being the SWAG BAG sponsor you will be exclusively printed on the swag bag with the event name.

$ 500.00

Total

$ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Team Entry | Sponsorships