Annual Show
Fish Entry
Registration Form

(PLEASE PRINT) YEAR ______________________ PAGE _______ OF _______

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)