One Fly 2013 On Line Entry Form

Blue River One Fly 2013
Entry Form

Name:___________________________________________

Mailing Address:____________________________________

City:_____________State_______________Zip Code______

Email:____________________________________________

Cell Phone*_______________________________________

*This is the cell phone you will be carrying the date of the event.  This is for contact reasons only.

Check appropriate boxes

____Entry fee enclosed (Please check or money order only)  IMPORTANT:  Please make check or money order payable to the Blue River Association.  Entry fee is $25.00.

___Yes, I want a mulligan fly on the date of the event for $10.00

Total enclosed:_____________

PLEASE NOTE:  Make check or money order payable to Blue River Association.  However, mail completed entry form along with fees to the following address.

Barry C. Shrader
One Fly Contest
700 E. Wynnewood
Sulphur, OK 73086

I will deliver all entry fees to the Blue River Association where they will be held until the event is completed.  Once the event is completed the Blue River Association will issue payment to the Oklahoma Department of Wildlife in support of the Catch & Release area at Blue River.