Address________________________ Phone#________________ Partner's Name__________________________ Address ___________________________ Phone#___________________________ .........................................................................$ 80 Location:Indian Lake Big Fish Pot......................................................$ 10 Late Fee...........................................................$ 10 Total.................................................................$______ Please send your entry fee along with your entry form to218 Virginia Ave Dayton, Ohio 45410 For more information call John Clark (937) 252-4947 This form provided by the Indian Lake Website. www.indianlake.com |