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FLORIDA POWERBOAT CLUB

MIAMI BOAT SHOW POKER RUN 2017.

To: Marathon in the FL Keys –Faro Blanco / Hyatt Place

February 23 – 26, 2017

Member Name: ______

Boat Name-Make: ______ New boat? Y / N

Email: ______ Zip code: ______

Cell Phone: ______Decal Color choice: ______

Choose departure date: (Circle one) 1 (Thursday Feb. 23) 2(Friday Feb. 24)

Names of Crew: Please indicate t-shirt sizes (see * below). Crew names are very important (video, etc…)

Captain: ______1st Mate: ______

T-shirt size: S M L XL XX (circle one) T-shirt size: S M L XL XX (Ladies top)

Crew 1: ______Crew 2: ______

T-shirt size: S M L XL XX (Ladies top) T-shirt size: S M L XL XX (Ladies top)

Crew 3: ______Crew 4: ______
T-shirt size: S M L XL XX (Ladies top) T-shirt size: S M L XL XX (Ladies Top)

Crew 5: ______Crew 6: ______

T-shirt size: S M L XL XX (Ladies top) T-shirt size: S M L XL XX (Ladies top)

______

  • Club Membership is necessary to participate on this event. Do you need information? Y / N

Insurance Policy Information- Please send an updated copy of your Insurance Declarations Page if you have not sent one to our office during the previous 4 months

Event Fee (Captain & mate):$750…………………………………………………………………………………$ 750.00

Extra crew:$150______Includes event tee & catered function passes $ ______

Additional T-shirts or Ladies tanks $20 each.……..………………………$ ______

Tee Sizes: ___S ___M ___ L ___XL ___XX - Ladies tanks: ___S ___M ___L

Additional Event BluRay ($30) …………………………………………….....$ ______

Safety Management Fund: ____ $50 for boats running 40 – 60mph

___$100 boats 60-99mph ____$150 boats 100+ ……....$ ______

Sponsor Dock Fee: ………………………..………………………..…..……….$ ______

Other Charges/credits: ………………………..………………………..…..…… $ ______

Total Payable: ...………….…...... $ ______

Event Fees may be paid by: AmexM/CVISADiscoverCheck

Card#:______Exp:______VIN: ______

Name: ______Signature: ______Date: ______
No returns or refunds, cancellations. Credit policy applies to all prepaid event fees

PLEASE FAX A COPY OF THESE FORMS TO:(954) 782-2452 or email to

FLORIDA POWERBOAT CLUB – MIAMI BOAT SHOW POKER RUN ‘16. Page 2 of 2

Docking and Accommodations & Reservation Form

rooms & dockage are not included in event fee

Member Name:______Date:______

Choose departure date:1. Thursday departure: -Wed Feb.22 Captains Meeting 2.Friday departure -Thurs Feb. 23 Captains Meeting

Departure Hotel
Marina

Courtyard Marriott _____ # of rooms required $218/night

Room type: ____ Std. Room(Double)- $218

Other special room requirements? Non-Smoking / Smoking ____ Std. Room(King)- $218

Special Needs: Return RoomsY / N Notes: ______

Docking Info –GroveHarbourMarina - $2.00 /ft Slip: Y / N Water: Y / N Electric: Y / N
Special Needs: ______

.

Holiday Inn Express – includes dockage fee at Holiday Inn Express marina - $359

Number of rooms: ______King ____ Double Queen ____

Courtyard Marriott Marathon – SOLD

Hyatt Place: SOLD OUT

Docking Info - Faro Blanco $3.00/ft private slips Slip: Y / N - 40 slips available

Other Notes: ______

Credit Card Info - AmexM/CVISADiscoverCheck

Use Same Card as registration

Credit Card#: ______Exp: ______Vin: ______

Name: ______Signature: ______Date: ______
No returns or refunds, cancellations. Credit policy applies to all prepaid event fee

PLEASE FAX A COPY OF THESE FORMS TO: (954) 782-2452

Or scan and email to

Visit our web site for more information

Call us with any questions: 954-545-1414 / or send us an email