TEAM REGISTRATION

When registering a team please make every effort to list the names of each individual participant. This will help us in allocating hotel accommodations and will assure that team members will be accommodated on the same property. Your anglers should plan to arrive in Key West on Thursday, April 22nd and depart on Sunday, April 25th. Since we must book our charter boats well in advance, please give an accurate count of anglers as early as possible. Individuals listed as anglers will be billed as anglers whether or not they actually fish. As this is a charity event, a $400 social registration fee will be required for those of you bringing a spouse or guest. Social functions include breakfasts, Captain’s Cocktail party, Leaderboard cocktail party, and awards dinner. To enter a team, please fill out the electronic registration form. We will contact team leaders with accommodation confirmations in early April. At that time we will ask you provide the hotel with a credit card to insure your room is secured. Reservations must be made through Crystal to receive the discounted rate. If you have a preffered hotel please let us know, as reservations are made on a first come first serve basis.
Division / Team Name: *
Contact Person/Team Captain * First Last
Title
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Cell Phone * - (###) - ### ####
So we can contact you while in Key West.
Fax - (###) - ### ####
Email *
Please send and invoice in the amount of: $ . Dollars Cents
ANGLER #1 – Contact Information
Name First Last
Title
Company
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Cell Phone * - (###) - ### ####
So we can contact you while in Key West.
Fax - (###) - ### ####
Email
Arrival Date / MM / DD YYYY
Departure Date / MM / DD YYYY
Shirt Size:
ANGLER #2 – Contact Information
Name First Last
Company
Title
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Cell Phone * - (###) - ### ####
So we can contact you while in Key West.
Fax - (###) - ### ####
Email
Arrival Date / MM / DD YYYY
Departure Date / MM / DD YYYY
Shirt Size:
ANGLER #3 - Contact Information
Name First Last
Company
Title
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Cell Phone * - (###) - ### ####
So we can contact you while in Key West.
Fax - (###) - ### ####
Email
Arrival Date / MM / DD YYYY
Departure Date / MM / DD YYYY
Shirt Size:
ANGLER #4 - Contact Information
Name First Last
Company
Title
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Cell Phone * - (###) - ### ####
So we can contact you while in Key West.
Fax - (###) - ### ####
Email
Arrival Date / MM / DD YYYY
Departure Date / MM / DD YYYY
Shirt Size:
ADDITIONAL ANGLERS
($1,500 per person for each additional angler)
Additional Angler #1 – Contact Information
Name First Last
Company
Title
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Cell Phone * - (###) - ### ####
So we can contact you while in Key West.
Fax - (###) - ### ####
Email
Arrival Date / MM / DD YYYY
Departure Date / MM / DD YYYY
Shirt Size:
Additional Angler #2 – Contact Information
Name First Last
Company
Title
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Cell Phone * - (###) - ### ####
So we can contact you while in Key West.
Fax - (###) - ### ####
Email
Arrival Date / MM / DD YYYY
Departure Date / MM / DD YYYY
Shirt Size:
Please complete the form above and SUBMIT to forward to Crystal Blaylock (cblaylock1@aol.com). You may also print and fax to: 305-248-6501

OR

Mail to:
Shell Key West Challenge
P.O. Box 310
Homestead, FL 33090.

Make checks payable to: Shell Key West Challenge

ANGLER #1 – Contact Information

ANGLER #2 – Contact Information

ANGLER #3 - Contact Information

ANGLER #4 - Contact Information

ADDITIONAL ANGLERS ($1,500 per person for each additional angler)

Additional Angler #1 – Contact Information

Additional Angler #2 – Contact Information

Please complete the form above and SUBMIT to forward to Crystal Blaylock (cblaylock1@aol.com). You may also print and fax to: 305-248-6501 OR Mail to: Shell Key West Challenge P.O. Box 310 Homestead, FL 33090. Make checks payable to: Shell Key West Challenge

ADDITIONAL ANGLERS
($1,500 per person for each additional angler)

Please complete the form above and SUBMIT to forward to Crystal Blaylock (cblaylock1@aol.com). You may also print and fax to: 305-248-6501

OR

Mail to:
Shell Key West Challenge
P.O. Box 310
Homestead, FL 33090.

Make checks payable to: Shell Key West Challenge