Please download this entry form and mail it, together with your entry fee of $25.00 to the address shown:
Fish With Me
11408 NE 29th Avenue
Vancouver, WA 98686

Hemingway "Look Alike Society" Scholarship Fund "Dark of the Moon" Blue Water Non-Bill Worldwide Jackpot 2005

TO: Fish With Me 11408 NE 29th Avenue Vancouver, WA 98686 Please enter me in the Dark of the Moon Hemingway Scholarship Fund JACKPOT 2005 Contest.

Name

Phone: (______)

Address

City                                                                                   State         Zip

You will also need a weight slip. You may download and use the official form below.

Hemingway "Look Alike Society" Scholarship Fund "Dark of the Moon" Blue Water Non-Bill Worldwide Jackpot 2005 ----WEIGHT SLIP---

Angler's Name                                                                                         Date

Species of Fish                                                                                   Boat Name

Weight                                                     Photo by or Witness Name

SIGNATURE OF STAFF/DOCK MASTER

(Mail with photo to: Fish With Me, 11408 NE 29th Avenue Vancouver, WA 98686 (Weight slip MUST be post-marked within 7 days of the catch, must be accompanied by a photo, and must be signed by staff or dockmaster to qualify.)