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$395 – GENERAL ENTRY FEE

2016 Online REGISTRATION
CLOSED

Use this form after making your on-line entry fee payment. Your payment confirmation number will be required when you fill in this form.

First Name / Last Name

Your Email

Street Address

City, State, Zip

Cell Phone 000-000-0000

Home Phone 000-000-0000

Boat Name

Registration Number, State

Boat Manufacturer

Length, Hull Color

Engine Manufacturer

Number of Engines, Horsepower Each

Payment Confirmation Number

Tournament-Within-Tournament (optional):
Cash or Check ONLY.
Three Winners in each Level -
1st 50%, 2nd 30%, 3rd 20%
after 10% processing fee.

LEVEL 1 - $100
Most Total Points

LEVEL 2 - $100
Largest Kingfish (Pre-Shootout)

LEVEL 3 - $100
Largest Kingfish (Shootout Day)

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2016 Print REGISTRATION

If you are paying with a check, please use this form. Click on image below to download a PDF registration form to print.
Fill out the form, attach your check and return via mail to:

Northeast Florida Kingfish Shootout
450-106 State Road 13 N. #143
St. Johns, Fl 32259

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