You know what a great event this is and how much we enjoy putting it on.  In 2006 we will again, have a Thursday night sign-in/ cocktail party and raffle, 7-9 PM. The activities will be held at the beautiful new Warrior Hall at Camp Rilea.  Astoria is a busy place this time of year.  Please make your reservations for the Derby as well as hotel as soon as possible.

To insure your space please print and return the form below.  The cost of a team of three (division one) is  $270.00 ($90.00 per person) or $450.00 for a team of five (second division). This year we have added a Big Fish $500 cash prize for those who wish to pay an extra $10 per participant to enter the competition. Derby limited to 245 entrants.  Team space will not be reserved until we receive your payment.  Thank you for your continued support. We’ll see you there!

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Team Captain Name:_______________________________________________

Address:________________________________________________________

City:____________________ State_______________Zip_________________

Phone Number:___________________________________________________

Team Names: _________________________ ________________________

____________________ ___________________

_____$270.00 - team of 3 ______$450.00 - team of 5

_____$300.00 team of 3 - W/BIG FISH option ______$500.00 - team of 5 W/BIG FISH option

_________Check enclosed

_____Visa ______Mastercard #______________________________exp date______

Signature dated_________________________________________________________

FAX to 503-631- 3887 * Or mail to: NSIA PO Box 4 Oregon City, OR 97045