Ladies, Let's Go Fishing!
Stuart Seminar Registration
May 16-18, 2008
This form is for printing only. This is not an interactive web form. Complete, print & mail or fax this enrollment form with check or credit card information to "Ladies, Let's Go Fishing!" P. O. Box 550429, Ft. Lauderdale, FL 33355 , Phone: (954)475-9068, Fax: (954)474-7299, E-mail: info@ladiesletsgofishing.com . RESERVE EARLY - CLASSES MAY SELL OUT!
PERSONAL INFORMATION

Name:_________________________________
Address:_______________________________
City, State, Zip: _________________________
Home Phone:(_______) __________________
Work Phone: (_______) __________________
Cell Phone: (_______) ___________________
Fax Number: (_______) __________________
Email: ________________________________
Year of Birth: __________________
Business Name: ________________________
T-Shirt Size: S  M   L   XL   XXL   (Circle One)
Select Class level (click here for level description)
__ Beginner
__ Intermediate / Advanced
PAYMENT INFORMATION
Payment: ___ Visa ___ MC ___ Discover ___ Check
Credit Card# ______________________
Exp. Date: ________________
Name on Card ______________________
(please print)
SEMINAR REGISTRATION

Weekend Seminar Registration includes, meals, goody bag, t-shirt and more!

$145 Registration Fee

FISHING ADVENTURE REGISTRATION (optional)

Stuart 1/2 Day (5 hour) Fishing Rates:
(Rates are per person Coming alone? Don't worry, no need to fill the boat, we do it for you!)

$____ $45 - Fishing from Party Boat (8:30am – 1pm)

$____ $195 – River Flats Fishing Boat (2 persons/boat, inshore, head not guaranteed)

$____ $165 - Large Sportfishing Boat (6 persons/boat, offshore)

Need help deciding which boat category? Just click here! Tips are usually not included. Live bait additional. Fishing Adventure prices subject to change based on increasing fuel prices.

TOTAL AMOUNT ENCLOSED

  $ 145 Registration Fee
+ $ _____ Fishing Adventure Price
= $ _____ Total Enclosed
ACCOMODATIONS

Seminar cost does not include hotel accommodations. If you plan on staying you are responsible for making arrangements. LLGF suggests our host hotel:

Pirates Cove Resort & Marina
800-332-1414 or 772-287-2500
$127.50 per night
Rate Expires May 15, 2008


Cancellations must be made by the Friday at 5PM Eastern time, two weeks prior to the event for a refund. There will be a a $10 deduction for cancellation of reservations made by credit card. Registrants who do not attend and do not cancel by the Friday two weeks before the event will be assessed the full program fee. You may send a substitute. Fishing trip must be paid in advance to hold space. You will receive directions to the seminar, attire suggestions & other tips. Recommended age 21 and up. I have read and agree to the cancellation policy.

Your Signature ____________________________________________________


Number of people in party: ___________ Other Party Members Names:_________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

_____Yes, my Company would like to be a SPONSOR/donor. Please contact me!