--------------------------------------------Print this form &
Clip out--------------------------------------------
Boat Owner ___________________________ Non Boater _____________________________
Address _____________________________ Address _______________________________
City ____________ State _____ Zip _______ City _____________ State _____
Zip _______
Phone ____________ S.S. # ______________ Phone ____________ S.S. # _______________
Boat Make ____________ H.P. ___________ Boater Sig. _____________________________
Boat Registration # _____________________ Non Boater Sig.__________________________
Boater's E-mail Address ________________________________
The above signatures release all sponsors, officials, organizations,
individuals, and host city from any and all liabilities in any form for
any occurrence whatsoever resulting from my participation in this event.
I agree to abide by the rules of this tournament without exception. I have
read the tournament rules and understand each of them.
Mail entries to: Accent Marine, Inc. | 10414 Hwy. 92 E. | Tampa,
FL 33610
----------------------------------------------------- Clip out
-----------------------------------------------------
