Charity Fishing Tournament

Ninth Annual Charles F. Cooper Fishing Tournament
Saturday, September 29, 2012

Please complete the form below to register for this year's event. The following people will be fishing from my boat: (If children are fishing from your boat, please include their age on this form)

Please Enter Your Information:
*Starred fields are required
Age
Age
Age
Single fisherman registration - $100 
Age
*Registration Quantity: ($100 per person)
Amount:
Your Credit Card Information
Expiration Date: /
 3 or 4 digit code on the back of the card 
  

To pay by check, print form and fax to 843.651.6846. Make checks payable to Georgetown Hospital System Foundation. For more information, call 843.652.8080.

 
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