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 SFKFJ Registration Form

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mullet miller
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Posts : 117
Join date : 2010-05-21
Age : 54
Location : On My Ass

PostSubject: SFKFJ Registration Form   Mon Feb 27, 2012 4:56 am

Susquehanna Flats Kayak Fishing Jamboree

Benfitting

Heroes On The Water

Registration Form

Please print form and mail to address below

Name:_______________________________________ Phone:_______________________________________

Address:___________________________________________________________________
City:_____________________________ ____State:_____________________ Zip:___________________

Email:______________________________________________________
Age:_______
Sex: M____ F____

Emergency Contact & Phone:___________________________________________________________ ___

Tournament Registration Cost $40.00__________

Includes T-Shirt, & Sat Pig Roast (T-Shirt Size L-XXXL) _________

Additional Tournament T-Shirt (Size L-XXXL)______ $15.00__________

Total: __________

Please make check or money order out to –

Susquehanna Flats Kayak Fishing Jamboree (SFKFJ)
324 Lindsey Ave
Chesapeake City, MD 21915

Contact information;

Bob Miller (aka Mullet Miller) 302.584.3500 mullet_miller@verizon.net

Mike Reier (aka Yakmike) 410.409.5473 murph46@comcast.net
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