6th Annual KC/Tri-Cities Prep Boosters Salmon Derby

October 2-3, 2004

Entry Form

Name/signature _____________________________ X _______________________________

Address ____________________________________________________________________

City/State ___________________________________________________ Zip _____________

Phone ______________________________________________________________________

Make checks payable to Knights of Columbus or Tri Cites Prep Boosters.
Mail to KC/TCPB Salmon Derby,  PO Box 4744, Tri-Cities, WA 99302-4744
Entrant agrees to abide by the derby rules and all applicable regulations, and assumes any and all liabilities and risks.

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Print the entry form above and submit with payment or pick up an entry form at one of the participating sporting good stores or marine dealers. You may also contact Don McBride at (509) 943-0723 or Email at djmcbride@charter.net

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