Entry Form - 2017 Open Fall Team Tournament - Enter with Credit Card
Angler 1
Birthdate
Address
City
State Zip
Phone
SSN
Email
Angler 2
Birthdate
Address
City
State Zip
Phone
SSN
Email
November 12, 2017 - Lake Possum Kingdom (South D & D)

Mail This Entry Form To:
Make Checks Payable To:

Jason Harless
4117 FM 89
Tuscola, Texas 79562

Phone: 325-271-0888
Email

Entry Fee = $160 per team
Includes Big Bass

No Membership Fee Required