 |
 |
| THE GREATER WELLSVILLE TROUT DERBY SPONSOR FORM April 19 & 20, 2011 DERBY |
I/We will participate in the April 2011 Trout Derby as follows ( Check One )
( ) I/We donate $ ________________. ( Please make check payable to "Wellsville Lions Club")
( ) I/We donate $ _________________ each for ___________ fish as a prize if the sponsored
fish is/are caught according to the rules of the Derby. I/We will not be obligated unless the fish is/are
caught. The money will be paid immediately after the contest when contacted by a Wellsville Lions
Charities Inc. or Chamber of Commerce member.
Company Name: ____________________________________________________________
Contact Person: _______________________________________________________
Address: _______________________________________________________________________
Telephone: ( _____ ) _________________________________________________
Please dedicate the fish in the following manner: ( not required ). What does this mean?
______________________________________________________________________________
______________________________________________________________________________
Signature:
_______________________________________________________________________
Date: __________________________________________
Thank You
( ) I/We donate $ ________________. ( Please make check payable to "Wellsville Lions Club")
( ) I/We donate $ _________________ each for ___________ fish as a prize if the sponsored
fish is/are caught according to the rules of the Derby. I/We will not be obligated unless the fish is/are
caught. The money will be paid immediately after the contest when contacted by a Wellsville Lions
Charities Inc. or Chamber of Commerce member.
Company Name: ____________________________________________________________
Contact Person: _______________________________________________________
Address: _______________________________________________________________________
Telephone: ( _____ ) _________________________________________________
Please dedicate the fish in the following manner: ( not required ). What does this mean?
______________________________________________________________________________
______________________________________________________________________________
Signature:
_______________________________________________________________________
Date: __________________________________________
Thank You