THE BRIBIE ISLAND SPORTFISHING CLUB

Moreton Bay Longtail Tuna World Flyfishing Challenge

Nomination Form

10th - 11th May 2003

YES! I would love to participate in the 2003 Moreton Bay Longtail Tuna Flyfishing Challenge.

Individual Nomination

Name ……………………………. Phone No ………..………… Club …………………...

Address …………………………………………………………………………………………….

Team Nomination

1. Name……………………………. Phone No ………..………… Club …………………...

Address …………………………………………………………………………………………….

2. Name……………………………. Phone No ………..………… Club …………………...

Address …………………………………………………………………………………………….

3. Name……………………………. Phone No ………..………… Club …………………...

Address …………………………………………………………………………………………….

I enclose my nomination fee of $10.00 per person*.

YES! I would like to order a shirt commemorating the 2003 Bribie Island Sportfishing Club Inc Moreton Bay Longtail Tuna World Flyfishing Challenge.

Name ………………………………………………….

No. of shirts ………………………………………………….

Size S M L XL XXL XXXL

Price $To be advised - please ring or email!

CHEQUE ENCLOSED $………………………………..

Only shirts ordered by the 15^th April will be supplied on the day of the tournament. Shirts ordered for delivery after the tournament may incur an additional charge for postage.

*Please make your cheque payable to "BRIBIE ISLAND SPORTFISHING CLUB INC".

Please print out and forward this form to Jeff Sorrell, 410 Anzac Avenue Kippa Ring Qld 4021.