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ULTIMATE ANGLER CHALLENGE SERIES
www.ultimateanglerchallenge.com
2010 Team Registration Form
Required Information:
Name 1: ______________________________________________
Street Address ______________________________________________
City, State Zip ______________________________________________
Daytime Phone ______________________________________________
Email: ______________________________________________
Signature 1: ________________________________________
Name 2: ______________________________________________
Street Address ______________________________________________
City, State Zip ______________________________________________
Daytime Phone ______________________________________________
Email: ______________________________________________
Signature 2: ________________________________________
PLEASE CHECK EVENTS YOU WANT TO FISH:
Ultimate Angler Bass Events:
| May 29, 2010 |
Lake Vermilion, Cook, MN. |
$50/team. |
| June 12, 2010 |
Ely Lake, Evelth, MN. |
$50/team. |
| June 13, 2010 |
Blue Lake, Nashwauk, MN. |
$50/team. |
| July 17, 2010 |
Island Lake, Duluth, MN. |
$50/team. |
| July 18, 2010 |
Fish Lake, Duluth, MN. |
$50/team. |
| Aug 14, 2010 |
Pokegama Lake, Grand Rapids, MN. |
$50/team. |
| Aug 15, 2010 |
Wabana Lake, Grand Rapids, MN. |
$50/team. |
| Sept 18, 2010 |
Farm Island Lake, Aitkin, MN. |
$50/team. |
| Sept 19, 2010 |
Lake Minnewawa, Mcgregor, MN. |
$50/team. |
Ultimate Angler Multispecies Events:
| June 2010 |
Island Lake Reservoir, Duluth, MN. |
$50/team. |
Annual Multispecies.com membership $20.00/yr. per person. Required before fishing any events.
TOTAL ENCLOSED: ____________________
Payment Method: Personal check, Cashier’s Check or Money Order.
Please make write checks out to: “Multispecies .com”
This form gives permission for Multispecies.com to publish any photos or video taken for the fishing tournament(s) listed above to be used for promoting fishing as multispecies .com sees fit. These photos and/or videos can be used on the web as well. These photos and videos will be the sole property of Multispecies.com.
This form must be completed, signed and sent with your payment.
Upon registration you are acknowledging you have read the rules and will not hold the tournament, tournament anglers, or tournament officials, responsible for any injury or damage incurred during tournament activities, and I will be solely accountable for any consequences of my actions. I will to the best of my ability, adhere to the rules of the tournament, as well as be responsible for the actions of my fishing partner.
Please Return To:
Multispecies .com
Ultimate Angler Challenge Series
106 2nd Street, Proctor, MN 55810
Al @ (218) 390-5676 / Doug @ (218) 390-9973
e-mail: al@ultimateanglerchallenge.com / doug@ultimateanglerchallenge.com |