CASTING FOR A CURE | FISH-A-THON 2010

Registration closes at Midnight on Wednesday, September 8, 2010.

Please fill out the form below then click "continue". You do NOT need a Paypal account and will be able to use your credit card. Paypal is a secure form of payment.

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

How did you hear about this event:

* Body of water you plan to fish:

IN RECOGNITION

If you are fishing in memory of or in honor of someone touched by cancer, please fill out the following fields.

	Name
I am fishing in memory of :
I am fishing in honor of :

ANGLER PACKET & FISH MEASURING STICK PICKUP

* Please indicate which location you will pick up your official fish measuring stick at. Your stick will only be available at the location indicated. Pick up is available after 3:00 p.m. on Friday, September 10, 2010. An official fish measuring stick is required to qualify for an award. Choose only ONE:

Email us at info@castingforacure.org if you would like to recommend a location (bait shop) to be added to this list. We will email you if we are able to secure that location and to confirm if you would like to switch to the added location. Please note, the location you choose on this form is the location you must pick up your packet from unless we specifically notify you differently.

ENTRY DONATION

* Are you 12 years of age or younger?

Yes

No

* Entry Donation

Fish-A-Thon Entry Donation (13 and older)- $30.00

Fish-A-Thon Entry Donation (12 and under)- $15.00

* I agree to abide by all official rules. I accept full responsibility for my safety and conduct. I understand that all applicable taxes will be the responsibility of the winner and that any photographs taken may be used for advertising purposes. Prizes for children will be the responsibility of the parent/guardian.

I Agree

*AFTER CLICKING CONTINUE YOU WILL BE DIRECTED TO AN OVERVIEW PAGE. YOU MUST CLICK ON THE PAYPAL LOGO TO ENTER YOUR CREDIT CARD INFORMATION. YOU DO NOT NEED A PAYPAL ACCOUNT, IF YOU DON'T HAVE AN ACCOUNT CLICK ON THE "CONTINUE" BUTTON ON THE LEFT HAND SIDE OF THE PAYPAL SITE WHERE IT ASK IF YOU DON'T HAVE A PAYPAL ACCOUNT. PLEASE CALL 320.267.8800 IF YOU HAVE QUESTIONS.

* Indicates Response Required