Eldorado Entry Form

Boat Name *

Skipper *

Email Address *

Phone Number *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Angler 1 *

Angler 1: Club Mship No (if applicable)

Angler 2 *

Angler 2: Club Mship No (if applicable)

Angler 3

Angler 3: Club Mship No (if applicable)

Angler 4

Angler 4: Club Mship No (if applicable)

Angler 5

Angler 5: Club Mship No (if applicable)

Angler 6

Angler 6: Club Mship No (if applicable)

Total number of launch boats (enter 0 if a small boat) *

Total number of small boats (under 9m over hull length) (enter 0 if over 9m) *

Total short term memberships required (if not current member of any Club) *

Total amount to pay

Payment *Will pay at briefingWill deposit online (12-3102-0067824-09)Will contact office with payment details

BAY OF ISLANDS SWORDFISH CLUB (INC)