Tidelines Fall 2017
25 th Annual Chesapeake Bay Fall Classic Nov 17-19, 2017 8461C Fort Smallwood Rd - Pasadena, MD 21122 • Email: fish@mssa.net - Website: www.mssa.net - Telephone: 410-255-5535
CAPTAINS ’ MEETINGS: (Schedule Change) ALL Meetings to be held – 6PM to 8PM Monday, Nov 13 th – Island Tackle – Chester Tuesday, Nov 14 th – Commodore Hall – Essex Wed., Nov 15 th – Lighthouse Restaurant- Solomons Thurs, Nov 16 th – Alltackle - Annapolis CAPTAIN OF THE YEAR BONUS POINTS Are you fishing on your own boat, (Do you own the boat)? LAY DAY CHOOSE A DAY TO NOT FISH
DIVISION: Amateur_______ Pro _______ CAPTAIN Name: If Member, ID Number: Address: City/State/Zip: Cell Phone: Email: (CELL PHONE & EMAIL NEEDED FOR UPDATES DURING TOURNAMENT) ALTERNATE CAPTAIN (Optional)
FRIDAY □ SATURDAY □ SUNDAY □
YES
NO
Name:
Address: City/State/Zip: Home:
ENTRY FEE (Member & Non-Member Fees) : Members: $250 - before Nov.1 st $275 - after Nov. 1 st Non-Members : $275 - before Nov 1 st $300 - after Nov 1 st
Cell:
eMail: MEMBERSHIP CHAPTEROPTIONS: Annapolis Atlantic Coast Broadneck/Magothy
$
ENTRY TOTAL
TOURNAMENTWITHINTOURNAMENT Each TWT is a separate & OPTIONAL selection NOT included in the Main Tournament Entry Fee. You may enter any combination of the TWTs. Please see official tournament Rules & Regulations for more information. $50 $200 (2 heaviest) $100 $300 (One Winner Only) $150 TWT TOTAL $
Carroll County
DC Metro
Essex-Middle River
Dorchester County
Kent Island
Northwest
Frederick County
Northern Bay Susquehanna
Perry Hall
Southern MD
Captain Individual
New
Renew
1 Year $25 1 Year $30
3 Year $65 3 Year $70
Family
Chapter (select one): Alt. Captain
New
Renew
MAIL CAPTAIN’S PACKET OPTIONAL – if unable to attend any Captains’ Meeting $20 Mail Packet Fee MAIL PACKET TOTAL $
Individual
1 Year $25 1 Year $30
3 Year $65 3 Year $70
Family
Chapter (select one):
GRAND TOTAL
$
Membership TOTAL CAPTAIN SIGNATURE (REQUIRED) X $
Cash Check
#
Credit Card: Visa Card # Expiration:
American Express
I have read & will abide by the official Rules & Regulations of the tournament & agree to them without exception. The accuracy of the data entered on this application is understood to be the responsibility of the captain/applicant.. It is the responsibility of the captain/applicant to verify the MSSA membership status of his or herself as well as their crew per the MSSA Crew Bonus Rules
/
CAPTAINS’ MEETINGS:
MSSA Office Use ONLY
Date Received:
Amount Received:
By:
BOAT #
Made with FlippingBook - professional solution for displaying marketing and sales documents online