Heaviest Croaker 1st Prize $1,000; Youth Prize $100 Heaviest Spot 1st Prize $1,000; Youth Prize $100 Heaviest White Perch 1st Prize $1,000; Youth Prize $100 Heaviest Catfish 1st Prize $1,000; Youth Prize $100
Captain's name
Email
Mobile phone
Street address
City
State
Boat registration number or id
Quantity T-Shirt Size:
Total T-Shirts Ordered
add up quantity for all sizes ordered above
Number of T-shirts less one Free
First T-Shirt is free - deduct one from total
Cost of additional T-Shirts $
Tournament entry
Add T-Shirts and Tournament Entry $
Any comments or extra information
• Tappahannock Rotary Club - Virginia 22560 •
• Rotary District 7610 • Rotary International •
