Aquidneck Island Striper Team

Subtitle

AI weigh SLips

AQUIDNECK  ISLAND                                                                            AQUIDNECK  ISLAND

      STRIPER  TEAM                                                                                       STRIPER  TEAM

    CONTEST ENTRY SLIP                                                                            CONTEST ENTRY SLIP

               PLEASE  PRINT                                                                             PLEASE  PRINT

 

* Name ________________________________                     * Name ________________________________

 

* Div:    Man __Woman__ Youth under (16) __                     * Div:    Man__ Woman__Youth under (16)___

 

* Address ______________________________                     * Address ______________________________

 

* Species of fish _________________________                     * Species of fish ________________________

 

* Weight _______________________________                     * Weight ______________________________

 

* Date caught ___________________________                      * Date caught __________________________

 

* Surf _______ Boat _______ Kayak ______                           * Surf ______ Boat ______ Kayak _____

 

* These must be filled out & Submitted no later                    * These must be filled out & Submitted no later

 then 2 weeks after certified weigh-in.                                      then 2 weeks after certified weigh-in.

Then mailed to: Harry Livingston                                               Then mailed to:  Harry Livingston       

58 mail Coach Rd, Portsmouth RI                                                58 Mail Caoch Rd, Portsmouth RI

                                                      

___________________________________                                 _____________________________________

Signature& stamp of Authorized Weighstation                                Signature& stamp of Authorized Weighstation

________________________________________________________________________________________________________________  

 

AQUIDNECK  ISLAND                                                                           AQUIDNECK  ISLAND

      STRIPER  TEAM                                                                                   STRIPER  TEAM

    CONTEST ENTRY SLIP                                                                         CONTEST ENTRY SLIP

               PLEASE  PRINT                                                                             PLEASE  PRINT

 

* Name ________________________________                     * Name ________________________________

 

* Div:    Man __Woman__ Youth under (16) __                     * Div:    Man__ Woman__Youth under (16)___

 

* Address ______________________________                     * Address ______________________________

 

* Species of fish _________________________                     * Species of fish ________________________

 

* Weight _______________________________                     * Weight ______________________________

 

* Date caught ___________________________                      * Date caught __________________________

 

* Surf _______ Boat _______ Kayak ______                           * Surf ______ Boat ______ Kayak _____

 

* These must be filled out & Submitted no later                    * These must be filled out & Submitted no later

 then 2 weeks after certified weigh-in                                             . then 2 weeks after certified weigh-in.

Then mailed to: Harry Livingston                                              Then mailed to: Harry Livingston

58 Mail Coach Rd, Portsmouth RI                                               58 Mail Coach Rd, Portsmouth RI

                                                                                       

 ____________________________________                               _____________________________________

Signature& stamp of Authorized Weighstation                             Signature& stamp of Authorized Weighstation

  

 

 

 

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