Fishing, Bait & Tackle -- Rods, Reels, Lures from Old Inlet Bait & Tackle, Rehoboth Beach, Bethany Beach, Dewey Beach, Indian River Inlet, Atlantic Ocean, Delaware

Old Inlet Bait & Tackle, a full-service bait and tackle shop between Bethany and Rehoboth Beach Delaware

Sea Striker - Official Sponsor of the Delaware Seashore Fall Surf Fishing Classic
11th Annual Delaware Seashore Fall Surf Fishing Classic
September 27th and September 28th 2007

• REGISTRATION FORM •

PLEASE NOTE: THIS IS A PRINTABLE FORM.
Fill out the information on your screen, print out and mail with your payment.

Name
Address
City State Zip
E-Mail Phone Number

Men $30.00
Women $30.00
Kid $15.00
$2.00 Late fee AFTER SEPT. 22th
Added Entry $10.00
TOTAL AMOUNT ENCLOSED $

MAKE CHECK PAYABLE TO: Fall Surf Fishing Classic

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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