Regatta Entry Fee Form (due October 30, 1998)

All entries must be received with this form including fees by the Head of the Foster City Lagoon no later than Friday, October 30, 1998. (Entries received after October 30 will only be accepted with a 100% penalty fee)

Organization Name:_______________________________________

Contact Person:___________________________________________

Address:________________________________________________

City:_____________________________State:________Zip:_______

Eve. Phone:____________Fax:___________E-mail:_______________

ENTRY FEES (on or before Oct., 30):

(make checks payable to: HEAD of the LAGOON)

ARE YOU BRINGING A TRAILER? Yes No CAR-TOPPING? Yes No

MAIL COMPLETED ENTRIES TO:
HEAD of the LAGOON
c/o Daryl Winter
3530 Crestmoor Dr.
San Bruno, CA 94066