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Capt. First Name
Capt. Last Name
Boat Name
Birthday
Capt. Cell
Capt. Email
Co Capt. First Name
Co Capt. Last Name
Co Capt. Cell
Co Capt. Email
Boat Size (choose 18-50)
Engine Make
Number of Engines
Home Address
Address
City
State
Zip
Social Media Address
Facebook Link
Twitter Link
Instagram Link
KFC T-Shirt Sizes (Complimentary)
Capt. Shirt Size
Co-Capt. Shirt Size
Levels
Level 1
$1500.00
Level 2
$2,500.00
Level 3
$3,500.00
Total Payment:
CC Type
CC Month
CC Year
CC Number
Make Checks Payable to Kingfish Cup. Drop off at the Ocean Isle Fishing Center.
I give the Kingfish Cup permission to use any photos/videos from my personal and/or fishing team's social media page(s) as well as any pictures taken by the Kingfish Cup of myself or my team.
