IBEW Local 613
Bass Tournament

Registration Form

IBEW Local 613 Membership Not Needed to Participate

Step 1

Choose your payment option:

Registration for an event is not guaranteed until payment is received.

Registration Payment Options*

Online using a Credit Card or PayPalMake Payment via Check / Money Order Enclosed*Day of Tournament (Cash or Check Only)

Registration Options*

Tournament FeePer Boat (Pre Registration)

$150.00

Big BassMust pay to participate in Big Bass Contest

$10.00

Extra DonationAll proceeds benefit the IBEW Local 613 Welfare Fund. No refunds.

$10.00 Donation Amounts

Total

$0.00

Payment Method
Credit	Express

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

Registration Options

Tournament Fee*

Tournament Fee: $150.00
- Per Boat (Pre Registration)
- 2 People MaxBig Bass: $10.00
- Must pay to participate in Big Bass Contest

Extra Donation*

* All proceeds benefit the IBEW Local 613 Welfare Fund. No refunds.

Check / Money Order / Cash Amt.

Please make check out, or cash, for this amount

*CHECK / MONEY ORDER ENCLOSED

Make Check / Money Order Out To:

IBEW Local 613

Mail Check / Money Order and Printed Registration To:

Attn: Tonya Goodell
501 Pulliam Street, SW, Suite 250
Atlanta, GA 30312

Step 2

Complete registration information:

Boat Owner

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone*

Please enter a valid phone number.

Email*

example@example.com

Shirt Size*

Co-Angler