2011 Tournament Entry Form

* Required Fields

Personal Info

First Name *

Last Name *

Email *

Billing Address

City

State

Zip Code

Telephone (Home)

Telephone (Cell)

Fax

Flounder Division Entry $50

Days I Plan To Fish?
-Please Select- -Please Select- One Day Two Days

Number Of Adults ($50 Per Day)
-Please Select- One Adult (50.00) Two Adults (100.00) Three Adults (150.00) Four Adults (200.00) Five Adults (250.00) Six Adults (300.00) Seven Adults (350.00)

Flounder Calcutta ($25 Per entry per day) Winner = 85% Rotary =15%
-Please Select- One (25.00) Two (50.00) Three (75.00) Four (100.00) Five (125.00) Six (150.00)

King Mackerel Division Entry $200

$100 Kingfish Calcutta 85% Winner 15% MI Rotary

Days I Plan To Fish?
-Please Select- Select Below 1 Day 2 Days

Number Of Boats
-Please Select- Please Select One Below 1 Boat 200.00 Per Day 2 Boats 400.00 Per Day 3 Boats 600.00 Per Day 4 Boats 800.00 Per Day

Calcutta
-Please Select- $100 X One entry $100 X Two entries $100 X Three entries $100 X Four entries

Payment Method

Payment Method (make checks payable to Murrells Inlet Rotary Club)
-Please Select- Credit Card Check (mailed to address below)

Credit Card Type
-Please Select- Discover American Express Visa Master Card

Credit Card number

Expiration Date

  

Please complete and send to the address below or for more information contact Eric Gray 843-222-0596
The Rotary Club of Murrells Inlet
PO Box 243
Murrells Inlet, SC 29576