HATTERAS VILLAGE OFFSHORE OPEN ENTRY FORM 2010
Complete this form and return with fee to:
HVOO
P.O. Box 16
Hatteras, NC  27943
(mail no later than April 25, 2010)

or fax to 252-995-3076
(no later than May 11)

HMS Permit #____________________________________
Link to  Permit:    https://hmspermits.noaa.gov/PermitList.asp

 Please check level(s) you are entering:
___ Level 1:  $700
Mandatory   		___ Level 4:  $1000
Biggest Blue Marlin
___ Level 2:  $800
Additional Billfish 		 ___ Level 5:  $500
Daily Meatfish
___ Level 3:  $500
Meat Fish  		 ___ Level 6:  $500
Daily Billfish Release

                                     Total Fee: $___________
Payment:   Credit Card __
                            Cash __  
                            Check #______ 		Cr Card: #__________ - __________- __________ - __________
( Visa, Mastercard only )
Exp. Date: ______/______    CHARGE MY CARD THE AMOUNT ABOVE:

(cardholder's signature):______________________________________
Boat/Owner/Captain Information:
Boat Name:  
  
Check One:
 ___Charter  ___ Private
Owner's Name:
 Address:

   Phone #:

Email Address: 
  
Pay prize to (Name):
 Address:

 E.I.N. or S.S. N #:
 


____________________________
(SS# Required to receive prize money)
Captain's Name:
 Address:
 
 Phone #:  		 
Boat length/beam:

Docked at (Marina): 





Please Read and sign below:  I hereby release, discharge and hold harmless, Hatteras Village Civic Association, its officers, directors and sponsors, whether individual or corporate, from any claim for damages to my person or property incurred by my participation in the Hatteras Village Offshore Open. By signing the entry form and paying my entry fee, I acknowledge that I have read this release and am bound by same. This release shall also be binding on my heirs, executors, administrators and assigns.
Entrant's Signature:________________________________
Early Bird Special
If your entry and fee is received or postmarked on or before April 20, 2010 you will  be eligible for the early bird drawing.   The Early Bird drawing will be held at the Captains' meeting.
The prize will be announced soon...........

If mailing this form, please do so before April 25, 2010
The weigh station is at Hatteras Harbor Marina.  For more information, visit our website at www.hvoo.org