Old Inlet Bait & Tackle, a full-service bait and tackle shop between Bethany and Rehoboth Beach Delaware
Old Inlet Bait & Tackle
It's the service after the sale that counts.






20th Annual Delaware Seashore Fall Surf Fishing Classic
September 23rd and 24th 2017


• REGISTRATION FORM •

PLEASE NOTE: THIS IS A PRINTABLE FORM.
Fill out the information on your screen, print out and mail with your payment. MORE THAN ONE ENTRY PER FORM IS ALLOWED.

Name
Address
City State Zip
E-Mail Phone Number

Men $30.00
Women $30.00
Kid $15.00
$2.00 Late fee AFTER SEPT. 18th
Largest Bluefish Calcutta $10.00 (must be 18 yrs. of age or older)

Additional Anglers:

Name : Man Woman Kid Added Entry

Name : Man Woman Kid Added Entry

Name : Man Woman Kid Added Entry

Name : Man Woman Kid Added Entry

TOTAL AMOUNT ENCLOSED $

MAKE CHECK PAYABLE TO: Old Inlet Bait & Tackle

MAIL TO:

Old Inlet Bait &Tackle
P.O. Box 129
Rehoboth Beach, DE 19971
(302) 227-7974
email: info@oldinlet.com

In consideration of this entry, I waive any and all claims for myself and my heirs against officials and sponsors holding this tournament, for injury or illness which may directly or indirectly result from my participation. I further state that I am in proper physical condition to participate.

________________________________________________________
Signature and Date

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