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GEORGIA STATE CHAMPIONSHIP QUALIFIERS PRINTED REGISTRATION FORM Tournament Directors, please complete the following information for the top 5 finishers in any of your Tournaments (of 20 boats or more) on Georgia Lakes or Lakes in States bordering Georgia in order to qualify them for an invitation to the $35,000 Georgia State Championship in November. Invitations will go out in September. Please enter all information to ensure prompt mailing to qualifiers. |
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PLEASE PRINT THIS FORM AND SEND IT TO: HIGHLAND MARINA RESORT 1000 SEMINOLE ROAD - LaGRANGE, GA 30240 OR FAX IT TO: (706) 845-2968 |
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TOURNAMENT INFORMATION All tournament information fields must be completed for qualification |
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| TOURNAMENT NAME | |
| TOURNAMENT DIRECTOR | |
| TOURNAMENT DIRECTOR E-MAIL | |
| DIRECTOR PHONE NUMBER | |
| TOURNAMENT LAKE | |
| TOURNAMENT DATE | NUMBER OF BOATS |
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TOURNAMENT DIRECTOR & ASSISTANT DIRECTOR INFORMATION All tournament directors and their assistant director qualify to fish - complete this section if you wish to compete |
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| TOURNAMENT DIRECTOR | |
| TOURNAMENT DIRECTOR ADDRESS | |
| DIRECTOR city | state zip |
| ASSISTANT TOURNAMENT DIRECTOR | |
| ASSISTANT DIRECTOR ADDRESS | |
| ASSISTANT DIRECTOR city | state zip |
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TOP FIVE QUALIFIERS INFORMATION Invitations will be mailed out to complete addresses only - if address is not available, please submit qualifiers names which will be entered in tournament database. Qualifiers must contact the Marina directly in order to register once their names have been submitted |
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FIRST PLACE |
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| BOATER NAME | |
| BOATER ADDRESS | |
| BOATER city | state zip |
| PARTNER NAME | |
| PARTNER ADDRESS | |
| PARTNER city | state zip |
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SECOND PLACE |
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| BOATER NAME | |
| BOATER ADDRESS | |
| BOATER city | state zip |
| PARTNER NAME | |
| PARTNER ADDRESS | |
| PARTNER city | state zip |
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THIRD PLACE |
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| BOATER NAME | |
| BOATER ADDRESS | |
| BOATER city | state zip |
| PARTNER NAME | |
| PARTNER ADDRESS | |
| PARTNER city | state zip |
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FOURTH PLACE |
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| BOATER NAME | |
| BOATER ADDRESS | |
| BOATER city | state zip |
| PARTNER NAME | |
| PARTNER ADDRESS | |
| PARTNER city | state zip |
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FIFTH PLACE |
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| BOATER NAME | |
| BOATER ADDRESS | |
| BOATER city | state zip |
| PARTNER NAME | |
| PARTNER ADDRESS | |
| PARTNER city | state zip |