ANNUAL FALL FUN RUN Entry Form
*Required
*Name:
Company:
*Address:
*City:
*State:  * Zip:
*E-Mail:
*Phone #:
Cell #:
   
Boat Make, Size & HP:
Boat Year:
Boat Name:
Entry Fee - Poker Hand - 2 Lunch Tickets - 2 Dinner Tickets:  $225
Are you a member of the LGPBA?  SAVE $40
Extra Hands: X $50 = $
Extra Lunch Tickets: X $15 = $
Extra Dinner Tickets: X $25 = $
Total: $
MESSAGE BOX
Please Indicate Your Messages and Requests

DISABLED UNTIL NEXT EVENT

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