NOTE:Please print this form if you prefer to enter off line.
To print, simply highlight the form, and use the "Selection" option from your printer menu.
If you wish to enter on-line, please Click Here.

Fish With Me   911408 NE 29th Avenue   Vancouver, WA 98686  Entry Form  If entering as a team, please list team members' names and shirt sizes:    NAME:________________________ SHIRT SIZE:________     NAME:____________________ SHIRT SIZE:________    NAME:________________________ SHIRT SIZE:________     NAME:____________________SHIRT SIZE:________

Select Package: #1___ 4 per Cruiser 2 per Room $7625 p/p #2___ 3 per Cruiser 3 per Room $825 p/p #3___ 2 per Cruiser 2 per Room $965 p/p May we arrange your round-trip flight from:_______________ to Cabo? Yes No

___ ADULTS-NON-FISHING: $425 p/p  _____(How many?) ___ KIDS UNDER 11 YRS:  $125 p/p  _____(How many?) How many people in TOTAL (fishing and non-fishing) are you registering with this form? ________    AMOUNT OF CHECK ENCLOSED WITH THIS ENTRY:________________________     YOUR NAME:_____________________________________________________  DAY PHONE:__________________     YOUR ADDRESS:__________________________________________________  NITE PHONE__________________    CITY___________________________ STATE:____ ZIP:________EMAIL:____________________________________ IF PAYING BY CREDIT CARD:    Card Type: [__]  VISA  [__] MasterCard   Card Number:___________________________  Exp. Date:___________    Name of Card Holder (As it appears on Card):_________________________________________________________ $150.00 Deposit per person. Balance due 60 days before departure. Deposit is refundable if cancelled 60 days before departure. A $250.00 charge will apply if cancelled within 30 days of departure. All Anglers and non-fishing guests release Hotel Palmas de Cortez, Playa del Sol, Fish With Me, and their agents and sponsors from all claims of negligence or liability arising from participation. All Anglers and guests agree to waive all such liability and claims. Prices subject to change without notice.

[Return to Front Page]

JERRY HALL  11408 NE 29th Avenue   Vancouver, WA, 98686   (800) 347-4963 E-mail: Fish With Me fishwithme@comcast.net © Copyright 2001-2003 FISH WITH ME. All rights reserved.