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 #