Name
Email
Mailing Address
City
State
Telephone
Fax
Boat Name
Captain/Owner
Private Boat
Yes No
Vessel Make/Type
Recreational Charter Party
Register me for
Both Days
Names & Ages of Anglers under 14
I have read the rules and policies of this event on the reverse side of this card, and understand and agree to all conditions as outlined therein:
Please re-enter name here:
Early Registration Fees Through Aug 11, 2007
$200.00 Both Days
Registration Fees After Aug 11, 2007
$250.00 Both Days
Please make checks payable to: Montauk Grand Slam, and mail your completed and signed application with your check to:
Uihlein's Marina & Boat Rental Post Office Box 357 Montauk, New York 11954