CLICK HERE IF YOU ARE HAVING TROUBLE PRINTING OUT THE REGISTRATION FORM.  It will open the form in another window and you can then print as you normally would.

Pelagic Trip Registration
(Please print and fill out this form and send it with your payment)

YourName _______________________   PHONE NUMBERS
Address _______________________ Home __________________
  _______________________ Work __________________
  _______________________ Cell __________________
 Email _______________________    

PLEASE list names, addresses, and home phone numbers for all other members of your party at the bottom of this sheet. 

I/we wish to sign up for the following trips:

Date Port of Departure No. in Party Amount enclosed*
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

*PLEASE WRITE SEPARATE CHECKS FOR EACH WEEKEND  - CHECK THE PELAGIC CALENDAR FOR PRICING.

Make checks payable to: BRIAN PATTESON, INC. and send to: Brian Patteson, P.O. Box 772, Hatteras, NC 27943

I (we) have read and understand all of the details regarding payments, cancellation policy, and liability stated in the "Terms and Conditions", and agree to the terms and conditions contained therein. Each participant must sign!  If copying or printing from the internet, please attach a copy of the "Terms and Conditions".


Copyright  2005
Last modified: March 24, 2005