First Name
Last Name
Address
Address
City
State
Zip
Phone
Email
Shirt Size
Mens - Small
Mens - Medium
Mens - Large
Mens - X-Large
Mens - XX-Large
Womens - X Small
Womens - Small
Womens - Medium
Womens - Large
Womens - X-Large
Entry Type
Participant $3200 - all inclusive
Participant and Guest $4000 - all inclusive
Other
Guest Name
Guest Fee $800
Payment Method:
PayPal
Check*
PayPal
(click here to make payment)
Premiere Angler 2009 Entry Form
Your all-inclusive weekend package includes:
Three nights lodging at a premiere Vail Resort
Celebrity Pairing and Guide for two days
Fishing license
Attendance at all social events
Gear bag loaded with fly fishing goodies
Custom embroidered apparel and keepsakes
* Please make check payable to
Hooked on a Cure
PO Box 3464
Florence, AL 35630
Click for a printable Registration Form
(PDF 48K)
Each entrant must file a separate entry form.
www.hookedonacure.com