![]() old ENTRY FORM
SILVER ANNIVERSARY MARINA DEL REY HALIBUT DERBYMARCH 27, 28, 1999 was on MARCH 27, 28, 1999 I HAVE READ THE RULES AND REGULATIONS OF THE HALIBUT DERBY, AND I AGREE TO ABIDE BY THEM. The undersigned parties hereby agree, for the opportunity to participate in the 25th Annual Marina del Rey Halibut Derby on March 27, 28, 1999, to release, discharge, hold harmless and indemnify Marina del Rey Anglers Inc., its officers, directors, and agents from all claims, demands and causes of any kind whatsoever, including, but not limited to, all liability for damages of every kind, nature, known and unknown, permanent or otherwise, sustained by the undersigned as an entrant in the Halibut Derby. ALL CONFIRMATIONS AND MERCHANDISE WILL BE SENT TO ENTRY #1. DERBY ENTRIES
1 . Name____________________________________________ Phone (______)___________________Address_____________________________________________________________________ Awards Party ____ City___________________________________________State________ Zip_____________________ Signature____________________________________________
2. Name_______________________________________ Phone (______)_______________ Youth?___ Address_____________________________________________________________________ Awards Party____ City___________________________________________State_________Zip_____________________ Signature____________________________________________
3. Name_______________________________________ Phone (______)_______________ Youth?___ Address_____________________________________________________________________ Awards Party____ City___________________________________________State________ Zip_____________________ Signature____________________________________________
4. Name_______________________________________ Phone (______)_______________ Youth?__ Address_____________________________________________________________________ Awards Party____ City___________________________________________State_________Zip______________________ Signature____________________________________________
OFFICIAL ENTRY FORM - -Page 2TEAMS--- EACH TEAM MEMBER MUST ALSO BE ENTEREDAS AN INDIVIDUAL ANGLER IN THE DERBY TEAM 1 - - - - - - - - - - - - - TEAM 2 ________________________________ - - ___________________________________ ________________________________ - - ___________________________________ ________________________________ - - ___________________________________ ________________________________ - - ___________________________________
TEAM 3 - - - - - - - - - - - - - TEAM 4 ________________________________ - - ___________________________________ ________________________________ - - ___________________________________ ________________________________ - - ___________________________________ ________________________________ - - ___________________________________ Count Each person on Each team. This adds up to a BIG CASH prise for the top Teams to split. DERBY ENTRANTS _______people @ $40 each $_____________________ YOUTH COMPETITION TEAM COMPETITION AWARDS DINNER PRINTED SWEATSHIRTS M / L / XL ______ sweatshirts @ $25 each $_____________________ PRINTED T-SHIRTS M / L / XL ______T-shirts @ $12 each $_______________________ PRINTED HATS (sales tax on shirts & hats included)_______Hats @ $12 each $___________________ RAFFLE TICKETS for HAND-MADE KNIFE ______Tickets @ $1 each $____________________ MARINA DEL REY ANGLERS FAMILY MEMBERSHIP only $50 per yr $ _________________ ADDITIONAL TAX DEDUCTIBLE
TOTAL ENCLOSED $______________Mail to: Marina del Rey Halibut Derby 4230 Del Rey Ave. Box 530 Marina del Rey, CA 9029 Or read about the Many Prizes Prizes and Trips For More information call 310 - 827-4855
We Thank You for your contribution to the worthy Programs this Halibut Derby Supports. And Good Luck Fishing!
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