For information call Jett's Hardware
804-453-5325

or EMAIL
Smith Point Sea Rescue

Print out this entry form for the
Reedville Bluefish Derby.

This application must be complete and legible to be accepted.
Make checks payable to Smith Point Sea Rescue, Inc.

Name_______________________________________________

Phone_______________________________________________

Street______________________City______________________

State________________________Zip_____________________

Boat make________________________

Boat reg. No.________________________

Length_____________________Name____________________

Signature____________________________________________

Social Security No.____________________________________

Entry Fee $200.00 Entry fees are a charitable donation and are non-refundable. Upon signing this entry you agree to adhere to all rules and decisions of The Rules Committee. Send forms to Smith Point Sea Rescue, P.O. Box 622, Burgess, VA 22432 or drop it at Jett's Hardware in Reedville, VA.

300 Boat Maximum Entries