Registration Fee: for all entries received
before, Friday, February 24th, 2012, at close of business (4:00 p.m.)
Adults and Kids $10 Dollars for all ages* TOURNAMENT
IS FEBRUARY 25TH AND FEBRUARY 26TH
Payment in the form of Cash, Check / Money Order or
Credit Card:
Make
checks / money orders payable to the SODUS POINT LODGE
ENTRANT
Print Name: Date
of Birth:
Mailing Address:
________________________________________________________________________
City:
_______________________________________ State: _______________ Zip: ________________
Phone Number:
*Signature:
_______________________________________________Date: ______________________
*By
entering the 2009 Polar Ice Fishing Tournament and signing the Official
Registration form, you agree to comply with, but not limited to all tournament
rules and regulations, as well as NY STATE fishing regulations.
Payment (please circle): CASH CHECK
/ Money Order Credit
Card
Credit Card Type (VISA / MasterCard): ______________________________________________________
Credit Card Number
_________________________________________ Expiration Date: _____________
3 Digit Code
#____________________________
Name on the Card:
Billing Address:
_________________________________________________________________________
Signature:
___________________________________________________________ Date: _____________
SODUS POINT LODGE 8528 GREIG
ST SODUS POINT NY
14555 * 315-553-2056 * rentals@asoduspointlodge.com