Leg I: January 25-28, 2012

Leg II: March 21-24, 2012

Both

TEAM ENTRY APPLICATION
All registered participants (captain, anglers and crew) will be required to carry valid individual Costa Rican fishing licenses while participating in the Los Sueños Signature Billfish Series. The boat will also be required to have a valid fishing license while participating in the Signature Series. Licenses may be purchased in advance of the tournaments at the Incopesca office, located beside Costa Rica Dreams Charters on the commercial dock or at check-in/registration. Each participating angler, captain and mate will be required to sign a release form upon registration.

* Required

Boat and Engine Information			Click Here to Download a Printable Version of the Entry Form (PDF)
* Name of Boat:
* Year Built:
* Make:		Model:
* Length:
* Engine Make:		Model:
Home Port:

Boat Captain
* Name:		Nickname (if applicable):
Mailing Address:
* City:		* State:	Zip:
* E-mail:
* Tel (home):		Work:	Cell:

Angler #1
* Name:		Nickname (if applicable):
* Occupation:
* Have you been paid to fish within the last five years?		Yes No
* If yes, please explain:
* Mailing Address:
* City:		* State:	* Zip:
* E-mail:
* Tel (home):		Work:	Cell:

Angler #2
* Name:		Nickname (if applicable):
* Occupation:
* Have you been paid to fish within the last five years?		Yes No
* If yes, please explain:
Mailing Address:
* City:		* State:	Zip:
* E-mail:
* Tel (home):		Work:	Cell:

Angler #3
* Name:		Nickname (if applicable):
* Occupation:
* Have you been paid to fish within the last five years?		Yes No
* If yes, please explain:
Mailing Address:
* City:		* State:	Zip:
* E-mail:
* Tel (home):		Work:	Cell:

Angler #4
* Name:		Nickname (if applicable):
* Occupation:
* Have you been paid to fish within the last five years?		Yes No
* If yes, please explain:
Mailing Address:
* City:		* State:	Zip:
* E-mail:
* Tel (home):		Work:	Cell:

Angler #5 (if applicable ‐ $500 registration fee per tournament)
* Name:		Nickname (if applicable):
* Occupation:
* Have you been paid to fish within the last five years?		Yes No
* If yes, please explain:
Mailing Address:
* City:		* State:	Zip:
* E-mail:
* Tel (home):		Work:	Cell:

Mate #1
* Name:		Nickname (if applicable):
Mailing Address:
* City:		* State:	Zip:
E-mail:
* Tel (home):		Work:	Cell:

Mate #2
* Name:		Nickname (if applicable):
Mailing Address:
* City:		* State:	Zip:
E-mail:
* Tel (home):		Work:	Cell:

TOURNAMENT ENTRY FEES

The tournament entry fee includes boat entry, including 4 anglers, for trophies, cash and prizes; eight social tickets for 4 anglers, captain, 2 mates and 1 observer; 4 angler bags; 1 captain bag; and t‐shirts and caps for the observer. Additional social tickets for the awards dinner will be sold at check in and registration only for a fee of $100 each per tournament.

	Tournament I	$ 7,000.00
	Tournament II	$ 7,000.00
	Tournament Series (both tournaments)	$ 10,000.00

			$
Additional Social Tickets # @ $100 each per tournament			$
	Additional Angler Fee @ $500.00 per tournament		$
	Additional Angler Fee @ $1000.00 for the Series
	Observer Fee $300.00 (per leg)		$
		Total:	$

PAYMENT INFORMATION

International Transfer
Bank: BANK OF AMERICA
Miami Branch NationsBank Tower 100 S.E. 2nd Street Miami, FL 33131
SWIFT: BOFAUS3M
ABA Routing: 026009593
Credit to account: 1901308820, of BCT Bank Int’l
Torre Banco General, Piso 15, Calle Aquilino de la Guardia, Panamá, República de Panamá Tel. (507) 269-9565
Further credit to account: 47542, of Silver Asset Management
Reference: Signature Series - [Name of Boat]
Domestic transfer:
Bank:	Banco BCT, S.A.
Cuenta Cliente:	10000010702000251
Cedula:	3-101-048587
Name:	Silver Asset Management
Account:	47542 SAM
		Enter Verification Code:

TRAVEL PLANNING

Boat Reservations

Please contact Costa Rica Dreams at US Tel: 732.901.8625 ext. 246, CR Tel: 011.506.2637.8942,
via e-mail: info@costaricadreams.com, or visit their website at www.CostaRicaDreams.com.

Accommodations

Los Sueños Marriott
Tel: 011.506.2630.9000
Or visit www.marriott.com/hotels/travel/sjols-los-suenos-marriott-ocean-and-golf-resort

Costa Rica Luxury Rentals
Tel: 011.506.2637.7105
Or visit www.CRLuxury.com

Transportation

Travel Agents for Flight Bookings

Victoria Owens
Office: (803) 782-9114
Cell: (803) 348-9646
Fax: (803) 787-3657
E-mail: vowens4777@aol.com

Cindy Bennett
Town and Country Travel
Ph: (561) 793-1737
Fax: (561) 795-4595
E-mail: cindy.tct@adelphia.com
Website: www.TownAndCountryTravelSite.net

Airport Shuttle To and From Los Sueños

Transancho
Tel: 011.506.2637.8818
Or visit www.Transancho.com

Car Rentals

National Car Rental
Tel: 011.506.2637.7192
Or Visit www.NationalCentroAmerica.com