6th ANNUAL CASEY NEAL ROGERS MEMORIAL ROCKFISH TOURNAMENT

ENTRY FORM

Name________________________________________________Phone__________________

Address_________________________________City_______________ State____  Zip________

Boat Make__________________ Boat Reg No.____________  Length__________

Boat Name_________________________________ Signature_________________________________________

Entry Fee: $125 before Sep 15th, $150 after!
Entry fees are a charitable donation and are non-refundable.  Upon signing this entry, you agree to adhere to all rules and decisions of the RULES COMMITTEE.

 
MAKE CHECKS PAYABLE TO:  CNR MEMORIAL ROCKFISH TOURNAMENT

Mail to:  P.O. Box 233,  Ophelia, VA 22530