2009 Annual Show
Fish Entry
Registration Form

NAME:______________________________________________________PHONE__________________

ADDRESS:___________________________________________________________________________

CITY__________________________________STATE (COUNTRY)____________ ZIP_______________

E-MAIL ADDRESS_____________________________________________________________________

DO NOT FILL IN BAG NUMBER OR CLASS.         BOTH ARE ASSIGNED AT THE SHOW.

MAIL TO:   John Metzger, 20665 1300 East St., Princeton, IL 61356-6844   (Or bring to show)