Super 30 Minnesota Entry Form

  • Captain's Name   Membership in Denny’s Super 30 is open to all men and women. Anyone under the age of 16 years must fish with a parent or legal guardian. Both anglers of a team must be members. Acceptance of the prize constitutes permission for Denny's Super 30 and its sponsors to use winner's name and/or likeness, biographical material and/or entry (including an altered form of the entry) for advertising and promotional purposes without additional compensation.
    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 (per team)

    		$40.00
    Miss River pools 4 & 5  5/15/10

    		$250.00
    Lake Osakis 6/26/10

    		$250.00
    Green Lake - Spicer 7/10/10 (Go to LMCD Form)

    		$250.00
    Vermilion 8/21/10

    		$250.00
    North Long Lake 9/25/10

    		$250.00
    Optional big bass pot of $20 per team, per tournament  
    Optional one time Team of the Year entry - $50.00/Team  
     

    TOTAL

    Mail check & Signed entry form to:
    DENNY’S SUPER 30
    10023 120th St NW
    South Haven, MN 55382
    Cell 612-201-2406