Please complete the application form below:

 

Your Name (required)

Your Email (required)

ANGLER INFORMATION
First Name:
Last Name:
Address:
City: State: Zip Code:

Contact Phone:
Email:

Shirt Size (please check one):
 Small Medium Large X-Large XX-Large

GUIDE INFORMATION
Guide's Name:
Guide's Email:
Shirt Size (please check one):
 Small Medium Large X-Large XX-Large

Additional Comments

 

The entry fee is $650.00 if received prior to October 31, 2011 and $750.00 thereafter.
Please RSVP as soon as possible, with your check, payable to “March Merkin,Inc.”
Mail entry form and check to:

March Merkin, Inc.
C/O Shirley Ain
17153 Buttonwood Drive West
Summerland Key Florida 33042