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REGISTERTODAY76thAnnualSILVERSAILFISHDERBYJANUARY9-122013SAILFISHMARINASINGERISLANDSORRYNORAINCHECKSORREFUNDSContactNameAddressCityStateZipTelephoneHcellEmailaddressBoatNameBoatMakeLengthCaptaincaptainx19scellListnamesofanglersshinginthetournamentnolimittonumberofanglersENTRYFEEINCLUDESBoatregistrationofcialDerbyboatkitlledwithSilverSailx1dshDerbyburgeetwo2tournamentteeshirtsDerbyscoresheetscirclehooksothershingrelatedgoodiesDinnerticketsmustbepurchasedseparately.VISAMastercardExp.DateSignatureofRegistrantCheckpayabletotheWestPalmBeachFishingClubTournamentislimitedto60vessels.Entriesaretakenonarstcomerstservedbasis.AtleastoneanglerperboathastobeaWPBFCmemberingoodstandingtoqualifyforthememberdiscount.RegistrationsmustbereceivedbyThursdayDecember202012.A200lateregistrationfeeisapplicableiffullpaymentisnotreceivedasofthisdate.AmExReturnthisformtoDerbyEntryP.O.Box468WPBFL33402orfaxto561832-2137PleasePrintClearlyWPBFCMEMBER975ORNON-MEMBER1275ENTRYFEELATEREGISTRATIONFEEADDITIONAL200AFTERDEC.20THDERBYDINNERTICKETS120EACHADDx19L.LONGSLEEVEDERBYTEES20SIZESSMLXLADDx19L.LONGSLEEVEDERBYTEES22SIZESXXLXXXLDERBYVISORS16EACHBUCKETOFSILVER5050CASHRAFFLETICKETS100EA.975.00perboatforWPBFCmembersbyDec.20th1275.00perboatfornonmembersbyDec.20thAfterDec.20th1175WPBFCmembers1475non-members120.00perpersonforDerbydinnerticketssoldseperatelyforofcialuseonlyBoatNo.2longsleeveteesareincludedwyourentry-additionalteesare20XXLXXXLare22PleasespecifysizesS___M___L___XL___XXL___XXXL___ShirtsizesarenotguaranteedunlessentriesarereceivedbyDec.262012.TotalQuantity_______ParticipantsoftheSilverSailshDerbyenterattheirownrisk.ByenteringIagreethattheWPBFCsponsorscommitteemembersallpersonsconnecteddirectlyorindirectlywiththeoperationofthetournamentshallbeexemptfromanyliabilityforlossdamagenegligenceharmorinjurysufferedtoanyparticipantvesselorequipmentwhichmayoccurduringthetournament.Allanglersaboardmyboatunderstandtherulesofthetournamentagreetoabidebythem.ShirtvisoronlyordersarewelcomedTotaltournamentteeshirtsrequestedTOTALREMITTEDwinnerneednotbepresentatdrawing-anyonecanparticipateOFFICIALDERBYENTRYFORM-JAN.9-1220131.2.3.4.HometownHometownHometownHometown5.6.HometownHometownregisteronlineatwestpalmbeachfishingclub.orgsilver-sailfish-derby.php