10th Annual Indian Lake Catfish Tournament

Name:______________________________________ Address:_____________________________________               _____________________________________               (City, State, Zip Code) Age: _____Phone: (    )________________ Drivers License # (if available)_____________________ Mail To: ILCT PO Box 1021 Russells Point, OH 43348 Registration Fee: $15.00 check payable to: Indian Lake Catfish Tournament PROCEEDS TO BENEFIT THE INDIAN LAKE YOUTH PROGRAMS. Form provided by indianlake.com

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