BOAT REGISTRATION APPLICATION

Whitefish Chain Antique and Classic Wood Boat Rendezvous

July 23rd and 24th, 2009

At Moonlite Bay Family Restaurant & Bar

(Crosslake,MN, at the intersection of Country Road #16 and Country Road #66)

REGISTRANT

Skipper:____________________________________________________________

First Mate:__________________________________________________________

Address:____________________________________________________________

City_______________________________________ State:___ Zip:_____________

Home Telephone:____________________ Work # _________________________

Cabin # ____________________________ Cell # ___________________________

Location Preference (Not Guaranteed) Water ___ Land___

BOAT INFORMATION

MFG:___________________ Length_________________ Year_______

Model:__________________ Engine:___________________________

Boat Name:________________________________________________

REGISTRATION FEES (Note: No refunds if notified after July 2Oth, 2010)

  • Boat, Skippers & First Mate $30 ($35 after July 19th) $______

Boats over 26’ + $40 ($45 after July 19th)
  • Skipper’s Dinner: $15

(Friday, July 23rd) $15(PP) X # of People =_________ $_______
  • "Boat for Sale" Fee: $25

(Sale sign will be provided by organizer) $_______

TOTAL REMITTANCE: $________

PLEASE MAKE CHECKS PAYABLE TO AND MAIL TO: Judy Madigan

PO Box 519

Pequot Lakes, MN 56472

E-mail_____________________________________ (PLEASE PRINT CLEARLY)