EmailMe Form - 2015 CIFC Registration Online Form

Team Member A *

First Last

First and Last Names Required

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Email *

A valid email address is required.

Cell Phone

### - ### - ####

Phone - Home

### - ### - ####

Phone - Work

### - ### - ####

Do you text? Yes / No

Fishing Licence #

Renewal Date

Date of Birth

Date of birth is optional. The information is used to determine the oldest anglers for awards and prizes.

Travel Distance - one-way (km)

If you do not have a team member confirmed yet, please skip down to PAYMENT OPTIONS. The Team Payment will still be required in Full.
If you DO have a partner confirmed, enter as much information as you can.

Team Member B

First Last

Address B

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email B

Cell Phone B

### - ### - ####

Phone - Home B

### - ### - ####

Phone - Work B

### - ### - ####

Do you text? Yes / No

Fishing Licence #

Renewal Date

Date of Birth

Date of birth is optional. The information is used to determine the oldest anglers for awards and prizes.

Travel Distance one-way (km)

REGISTRATION FUNDS INCLUDING TAXES ARE NON-REFUNDABLE.

Method of Payment ----- (Cdn. Funds)
Add $10.00 if paying by paypal, debit or credit card. *

VISA/Mastercard or PayPal paid online through PayPal. No PayPal account is required. (do this on the next screen)

Cheque/Money Order - mail in

Registrations close Feb. 15, 2015 at midnight. After Feb. 12, 2015, please do not use standard postal mail to send payment, thank you.
Teams will not be posted on the public registration list until payment is processed in full.

If paying on-line, please indicate the name of the payee (name on credit/debit card).

Comments

Date you filled out this form *

MM / DD / YYYY

EASY TIP: click the small icon to the right of YYYY to open a calendar. Click on today's date.

"By entering this competition I agree that I have read and will abide by
the rules." *

I Agree

You can open the Rules & Regulations in a new window - CLICK HERE

Office Phone: 705-738-5757
Cell: 905-251-5624
email: info@cifc.org

Canadian Ice Fishing Championship,
326 Sail Vista Drive, Bobcaygeon, ON K0M 1A0