Nixon's Marine Moses Lake Open

Registration Form

Nixon's Marine Moses Lake Open will be held May 3rd and 4th out of the Cascade Park Marina on Moses Lake.  The field will be cut to the top 10 boats on Sunday.  Entry fee $300 per team.

 Team Members:

    Name:        ______________________________________

    Address:    ______________________________________

                     ______________________________________

    Telephone: ___________________ e-mail: _____________

    SS# (for prize payout): ______________________________

    Name:        ______________________________________

    Address:    ______________________________________

                     ______________________________________

    Telephone: ___________________ e-mail: _____________

    SS# (for prize payout): ______________________________

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You will be required to sign a release of liability form at check-in..

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Enclose $300 Entry Fee with Registration.

Make Checks Payable To:

Nixon's Moses Lake Open

Mail your registration to:

Nixon's Moses Lake Open

c/o Northwest Bass
P.O. Box 825

Veradale, WA  99037