34th Annual Fishing Tournament AGC FEC Fishing Tournament Brochure 1 | Page 4
To guarantee your reservation, payment must accompany this completed form.
Surf & Turf Sponsor Goggle Eye Sponsor Wahoo Sponsor
Blue Runner Sponsor Flying Fish Sponsor Bally Hoo Sponsor
Dolphin Sponsor Kingfish Sponsor Banner Sponsor
REGISTRATION DEADLINE: March 22, 2019
Company Name:_____________________________________
Contact Name:___________________________________
Phone:_____________________________________ E-Mail:__________________________________________________
BOAT ENTRY + 2 ANGLERS ($675 each)
Boat Name: _______________________________________
If the Captain is fishing or attending the dinner, please put their name in an
Angler or Dinner Guest space below and account for them in the total.
Captain’s Name: ______________________________
Angler Name
Boat Type: _______________________________________
Shirt
Size:
:______________________________________
Angler Name
ADDITIONAL ANGLERS ($250 each)
Angler
Shirt
Size:
Name:_______________________________________
Angler
Shirt
Size:
:_______________________________________
Shirt
Size:
Name:________________________________________
Shirt
Shirt
Size:
Size:
Angler Name:_______________________________________
Angler Name:________________________________________
Shirt
Shirt
Size:
Size:
Angler Name:_______________________________________
Angler Name:________________________________________
JUNIOR ANGLER (Age 14 and under $150 each)
Shirt
Shirt
Size:
Size:
Jr. Angler Name:_________________________________________
Jr. Angler Name:_________________________________
BANQUET GUEST ($200 each)
Guest Name:_________________________________________ Guest Name:_____________________________________
Guest Name:_________________________________________ Guest Name:_____________________________________
Guest Name:_________________________________________ Guest Name:_____________________________________
Guest Name:_________________________________________ Guest Name:_____________________________________
ADDITIONAL SHIRTS…..$32.10 each (Sales Tax Included)
Quantity of Shirts in Size Section below:
PAYMENT: (Due with registration)
CREDIT CARD GRAND TOTAL $__________
XS_____ S_____ M_____ L_____ XL____ 2XL_____ 3XL_____
REGISTRATION INFORMATION:
Credit Payments add 2% to total.
□ VISA
□ MasterCard
□ Amex
□ Check
Boat Entry $675 x ________ = $ ___________ Cardholder’s Name:____________________________________
Add. Anglers $250 x ________ = $ ___________ Card No. :_____________________________________________
Jr. Angler $150 x ________ = $ ___________ Exp. Date: ____________ Billing Zip Code:________________
Guests $200 x
________ = $ ___________
Sponsorship _______________ = $ ___________
Add. Shirts $32.10 x _______ = $ ___________
Total Amount Enclosed = $____________
Authorized Signature:
_____________________________________________________
Make Checks Payable to: AGC FEC
2617 N Australian Avenue, West Palm Beach, FL 33407
Return form to [email protected]
**No refunds for weather days or cancellations after Friday, March 22, 2019