WesternBass.com :: Rally Registration

Instructions: To register for the Western Rally@ClearLake, you can: (1) Fill out the registration form by typing in the necessary information and electronically sending it in by pressing the "SUBMIT" button at the bottom of this form. AND (2) Print this registration form to a printer, fill out the information and mail the form and registration fee to the address below. NOTE: If you register electronically, you still must mail in a form and the registration fee. We encourage everyone to register online so we recieve your information as soon as possible. You will recieve an email verification upon reciept of your registration form and fee. REGISTRATION DEADLINE IS July 11, 2008 REGISTRATION FEE: $65.00 Add $15.00 per non-fishing participant for the Saturday night banquet. Make Checks out to Rally @ Clear Lake and mail to the address below. PLEASE DO NOT SEND CASH!! Western Rally C.O. Lee Hines 7228 Harbor Way Granite Bay, CA 95746

Required Fields Are in RED
First Name:
Last Name:
Handle:
Address1:
Address2:
City:
State:
Country:
Zip/Postal Code:
Home Phone:
Cell Phone
EMail Address:
Lodging Assistance:
Lodging Location:
Boater, Non-boater or Non-Participant?:
Draw?:	Please note: Being a part of the draw for partners is required with the exception of those attending AND fishing with their spouse/significant other.
Share A Ride/Expenses?:
Comments: