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City of Dryden


Email:
chamber@mail.drytel.net

284 Government Street,
Hwy. 17, Dryden, Ontario
Canada P8N 2P3

Phone: 807-223-2622
Toll-Free: 1-800-667-0935


(C)2007 Dryden District Chamber of Commerce
All Rights Reserved

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2010 21stDryden Walleye Masters - Catch & Release Tournament
June 19th & 20st

Visit www.DrydenWalleyeMasters.ca For more info!

AIM QUALIFYING EVENT!

Prize payout based on number of entries. 85 Entries guarantee top prize Registration Form As of June 1st, all entries must be paid in Cash!

Location: Riverview Lodge 148 Earl Ave. Dryden, ON
Entry Fee: $300 per team includes 1 meal ticket per team member

One team member must be in attendance for rules meeting.
Doors open -5 pm
Registration-5-7pm
Final Rules Review -7pm

CAPTAIN INFORMATION:
Name (Captain):  
Address:  
City:  
Province/State:  
Postal/Zip Code:  
Phone:  
Email:  
Age:  


PARTNER INFORMATION:
Name (Partner):  
Address:  
City:  
Province/State:  
Postal/Zip Code:  
Phone:  
Email:  
Age:  

We require a guardians signature if under the age of 18.


OTHER INFO:
Sponsor:  
Boat ID#:  
Boat Model:  
Engine H.P.:  


OPTIONS:
Sign up for the Big Fish @ $20.00 per team.


Sign up for Meal Tickets @ $20.00.


CREDIT CARD INFO:
Please charge my:   Visa       Mastercard
    There will be a 3% service charged added to all credit card transactions
Card Number:  
Expiration:  (ie.11/05)
Name on Card:  


I have read and I am familiar with the rules as stated. I am signing this application and hereby waive and release all contestants, sponsors and tournament officials from claims, injury or damage incurred in connection with this tournament. Photographs taken during this tournament can be used without compensation or notice for compensation or promotion. All statements made herein are true to the best of my knowledge.