Denny's Ice Out Entry Form

  • Captain's Name
    Social Security #
    Street Address
    City
    State Zip Code
    Work Phone
    Home Phone
    E-mail
    Signature
  • Partner's Name
    Social Security #
    Street Address
    City
    State Zip Code
    Work Phone
    Home Phone
    E-mail
    Signature
  • Check the tournaments you are entering.
    Membership Fee

    		$10.00
    Okoboji, IA

    		$200.00
    Spirit Lake, IA

    		$200.00
    Fish both and save $10.00!

    		$390.00
     

    TOTAL

    Mail check & Signed entry form to:
    DENNY’S SUPER 30
    8014 Pennsylvania Road
    Bloomington, MN 55438
    Cell 612-201-2406