National Powerboat Association - NYC Poker Run Entry Form


		Manhasset Bay Gold Cup Powerboat Poker Run 2007 Entry Form You can fill this from out online and print and send it with check N.P.B.A., 30 Morgan Ave., Greenwich,CT 06831 Tel/Fax: (203) 532-1312

Name

Address:

Phone:

Day:

Eve:

Fax:

E-mail:

Age:

(You must be 18 years old . . plus)

Where did you hear about this event

Make of Boat

L.O.A.

YR.

Name of Boat:

Color

Registration No.

No. of Engines:

Hull Made of:

Home Port:

Engine Make:

Horsepower:

Cubic Inches:

Outdrive:

Exhaust System

Ratio:

Props:

Cruising Speed

Top Speed

Size & Pitch

Event:

$400.00 with 2 entry hand

$100.00 per extra hand

# in Crew:

Total $ Enclosed:

Insurance Co.

Policy #

PAYMENT IS REQUIRED IN FULL FOR REGISTRATION ACCEPTANCE
THERE ARE NO REFUNDS ONCE YOU HAVE ENTERED.