Tournament Entry Form

Raystown Striper Club Don Brumbaugh Memorial Tournament
May 19th & 20th, 2012 Raystown Lake, PA

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ENTRY FEE: $100.00 PER BOAT INCLUDES 2 FISHERMEN PER BOAT
ADDITIONAL FISHERMEN $50.00 EACH
OPTIONAL LUNKER POOL $5.00 PER PERSON
ALL PARTICIPANTS MUST BE INCLUDED ON REGISTRATION FORM
CHILDREN 12 AND UNDER FISH FOR FREE!

Tournament Entry Form
Boat Owner: email:
Address:
City: State: Zip:
Boat Registration: State:
#1 Rider Name: email:
Address:
City: State: Zip:
#2 Rider Name:
Address:
City: State: Zip:
Mail registration with check payable to RSC, Inc. to:
Robert Kreiser
17168 Shaw Lane
James Creek, PA 16657
or Vince Lent
11514 Osprey Drive
Huntingdon, PA, 16652
Entries will not be honored without check at submission