8 th a nua l...shirt size s m l xl xxl 3xl shirt size s m l xl xxl 3xl team entry fee $3,000...

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2019

REG

ISTR

ATI

ON

FO

RM

TEAM INFORMATION

ENTRY FEES - BIG BOAT DIVISION

Team Name: Captain Name:

Boat Name:

Boat Size (LOA): Captain Phone:

Credit CardLocal Bank DepositLocal Bank Transfer (SINPE)BANK INFORMATION:IFISH QUEPOS, S.A. / Cédula Jurídica: 3-101-614831Bank: Banco Promerica / Account ID in USD: 4000764296Cuenta Cliente(SINPE): 11600104007642964

International Wire Transfer

PAYMENT METHODS

MARCH14TH-16TH, 2019

8TH ANNUA L

Angler #5 Lady Angler Junior Angler (place "x" if applicable)

Name:Email:Phone:

Angler #4 Lady Angler Junior Angler (place "x" if applicable)

Name:Email:

Phone:

Angler #6 Lady Angler Junior Angler (place "x" if applicable)

Name:Email:Phone:

Angler #2 Lady Angler Junior Angler (place "x" if applicable)

Name:Email:Phone:

Team Contact: Angler #1 Lady Angler (place "x" if applicable)

Name:Email:Phone:

Angler #3 Lady Angler Junior Angler (place "x" if applicable)

Name:Email:Phone:

Tournament updates, instructions, confirmations or refunds are sent to the Team Contact. This information must be complete. All tournament communication will first be sent by email and subsequent contact attempts will be made by phone call. Note: Angler #1 denotes Team Capitain.

Shirt Size S M L XL XXL 3XL Shirt Size S M L XL XXL 3XL

Shirt Size S M L XL XXL 3XL Shirt Size S M L XL XXL 3XL

Shirt Size S M L XL XXL 3XL Shirt Size S M L XL XXL 3XL

Team Entry Fee $3,000Billfish Release Jackpot (optional) $1,000 per day

Tuna Jackpot (optional) $300 per day

Dorado Jackpot (optional) $300 per day

All In $6,200

ENTRY FEES - SMALL BOAT DIVISION

Team Entry Fee $1,000 Billfish Release Jackpot (optional) $300 per day

Tuna Jackpot (optional) $300 per day

Dorado Jackpot (optional) $300 per day

All In $2,800

Credit Card Information

Card Type:Card Number:Exp. Date:Name on Card: Address:City, state, zip:Phone No:Signature:

MARINA PEZ VELA TOURNAMENTSTel: (506) 2774-9006 • Toll Free: 1-866-739-8352tournaments@marinapezvela.comwww.marinapezvelatournaments.com Credit Cards will be processed upon submission. Please scan and email

your registration form to tournaments@marinapezvela.com

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