CWC apply on-line

Only Eighty Teams Competing
For Over $50,000.00 In Cash

To reserve your place in the Canadian Walleye Championship please fill in the following entry form and we'll get back to you with more information. The entry fee is $700.00 Canadian currency per boat.

Captains First Name:	Last Name:
Address:
City:
Province/State:	Postal/Zip Code:
Country:
Phone:	Fax:
Email:

Partners First Name:	Last Name:
Address:
City:
Province/State:	Postal/Zip Code:
Country:
Phone:	Fax:
Email:

BOAT (make, model, size):
MOTOR (make & power):
SPONSOR (s), (if any)
Are you interested in the Pro Angler & Youth Mini Tournament, Thur. Oct 23rd, 7:00 a.m. - 12:00 noon?	YES NO

Payment Method
Cardholder name (as it appears on card)
Card number
Expiration Date
	(3% PROCESSING FEE WILL BE CHARGED FOR CREDIT CARD)
Comments:	Canadian Walleye Championship, Other Info.. LIABILITY RELEASE : 1. In sending this enquiry I hereby release Broadlands Mall, its officers, agents, employees and sponsors from any and all damages, claims, demands, cost or expenses relating to injury of any persons or any property which I may sustain or which I may cause by reason of participating in or in connection with this tournament. 2. I further consent and agree to grant CWC the full use of any name, still pictures video and voice likeness and background information in connection with the CWC productions, articles and press releases. I further understand that I will not be entitled to receive moneys, royalties, or other compensation. 3. Prize payout based on 80 teams entering; total prize may vary from that which has been advertised. 4. I signify in sending that I have read and understand the agreements numbered 1 & 2 above.

For more information you can call, write, or email:

Kim Wilson

Tournament Director

P.O. Box 797

Pine Falls, Manitoba.
R0E 1M0
Canada
Phone: Store: (204) 367-4665
Home: (204) 367-8442
Fax: (204) 367-4334
Email: broadlandsmall@hotmail.com