NATIONAL  POWERBOAT  ASSOCIATION

Seaport Inn & Marina Buzzard’s Bay Powerboat Poker Run 2010   Entry Form

Print this form, fill it out and send it with check to:
N.P.B.A., 30 Morgan Ave., Greenwich, CT 06831
Tel/Fax: (203) 532-1312

Name

Street Address

City, State Zip

Phone

Fax

Age

(You MUST be 18+ yrs old)

Email

How did you find out about the event?

Make of Boat

L.O.A.

Year

Name of Boat:

Color:

Registration No.

No. of Engines

Hull Material

Home Port:

Engine Make

Horsepower

Cubic Inches

Outdrive:

Exhaust System

Ratio:

Props:

Size & Pitch

Cruising Speed

Top Speed

  Event: $ 300.00          includes 1 poker hand and dockage

(Entry before Sept 1^st is $250.00)

$

Extra Hand ($100.00 per hand)

_____# of extra hands

$

# in CREW

$20. per person

$

~ALL Crew must be NPBA Members~
~Please fill out Annual Membership Form~

Total  Enclosed

$

Insurance Co.

Policy No.

Signature

Date:

Make Check Payable to:    The National Powerboat Association

                                               30 Morgan Avenue   Greenwich, CT 06831-4940