Event Information
Date of Event:   Event:
Include Membership?

Boaters Information
First Name: Last Name:  SS#
Address:  City:                State:                 Zip:          
Phone Number:

Partners Information
 First Name:  Last Name:  SS#                  
Address:  City:    State:    Zip:          
Phone Number:

Boat Information
 Boat Manufacture:    Boat Year    Electronics:           
Motor:    Insurance Company:  

 I have read the rules and membership requirements.  I hereby declare that I understand and will comply with all membership and competition rules, size limits, check in times, etc.  I intend to keep a copy of the rules in my possession during all competitions and compete in a "good sportsman like" manner,  I will furthermore abide by any and all Local, State and Federal Laws.  I know and affirm that any watercraft that I will operate during competitions will be safe and is fully insured.  I understand that I am completely financially responsible for my action during any competition events and hold harmless Big Bucks Bass, Inc their staff and sponsors.

 Total Amount from above:    Pay By:  
Cardholder Name:  Number:   Exp: 
 Cardholder Billing Zip Code:   SID # (3 digit number on back): 

 Notes: 

If you are going to mail the form PLEASE PRINT BEFORE YOU HIT THE SEND BUTTON!  Otherwise you will have to retype your information.  If you are paying by credit card you can print for your records. There is a $10.00 transaction fee for all credit card charges. All Returned checks will have a $40.00 NSF charge.
Registrations and payments must be in by 4:30 pm the Friday before the Tournament otherwise late registration penalties may apply. By clicking the send button I agree to the above conditions.



Mailing Address:
P.O. Box 175
Powers Lake, WI 53159
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