REGISTRATION FORM - Amazon S3
[Pages:1]REGISTRATION FORM
PERSONAL:
Name City
Address
State
Zip
Email Address
Phone number
T-shirt size
TOURNAMENT PARTICIPATION: (check all that apply)
q Boater q Non-Boater
q Bassmaster Elite Series-- q Bassmaster Open Series
q B.A.S.S. Nation (list state)
q FLW Tour--q Costa FLW Series
q FLW BFL
q TBF (list state)
q A.B.A. Ram Open Series
q LBAA Tournament Trail
q Bass Pro Shops Big Bass Tour
q Team Tournament Trails (Alabama Bass Trail, Arkansas Bass Team Trail, Bass Champs, Carolina Bass Challenge, D&R Sports Center Team Trail, Fishers of Men
Stren Series, McNider Marine Iron Man, Morristown Marine, Nichols Marine, Skeeter XFL, Texas Team Trail, 100% Plus Team Trail)
---------------
q Walleye Tournament Trail (Masters Walleye Circuit, Nat. Walleye Tour, AIM) q College Series Trail (Carhartt Bassmaster College Series, FLW College Series, Cabela's BoatU.S. College Series)
VEHICLE:
Model: (check one) q Tundra q Sequoia q Tacoma q 4Runner q FJ Cruiser Year: (check one) q 2014 q 2015 q 2016 q 2017 q 2018 q 2019 Beginning in 2019, only 2015 or newer Toyota Trucks (Tundra, Tacoma, Sequoia, FJ Cruiser or 4Runner) will be eligible for Bonus Bucks.
q Please attach copy of truck registration, and/or title, to registration form.
VIN number
Purchase Location: q Dealer (list name/city)
q Other
? I certify that the information provided here is correct. ? I own or lease the above listed Toyota vehicle. ? I have attached a copy of truck registration, and/or title, to registration form. I understand registration will not be considered complete without copy of
truck registration, and/or title. ? I will use the above listed Toyota vehicle as primary transportation and tow vehicle to and from qualifying tournaments. (See official rules for exceptions) ? I understand that Toyota Motor Sales and its acting agent's decision is final in all matters of determining eligibility and validity of payment claims in
accordance to the Toyota Bonus Bucks program rules. ? I understand that Toyota Motor Sales and its acting agent will file a Miscellaneous Income Form 1099 with the IRS for each bonus paid and will mail a
copy to each recipient. ? I certify I have read Sponsor's Official Promotional Rules and am both aware of, and have fully complied with, said rules. I understand that receipt of any
prize offered in this program is contingent upon full compliance with the program rules as well as rules for the supported event(s) in which I participated. I fully understand that any misrepresentation of fact as to my eligibility for participation or receipt of prize, whether intentional or unintentional, will be sufficient cause to forfeit any prize award provided by the sponsor. I agree to allow the sponsor to use my name and likeness for any and all promotional purposes without further permission or compensation.
Signature
RETURN INFORMATION: Please mail, fax or email this form to:
Dynamic Sponsorships | Attn: Toyota Bonus Bucks 4860 S. Lewis Ave., Suite 100 | Tulsa, OK 74105 Phone: 918 742-6424 | Fax: 918 742-9628
bonusbucks@
THIS TRUCK IS MONEY
Toyota Bonus Bucks / Attn: Dynamic Sponsorships / 4860 South Lewis Avenue, Suite 100 / Tulsa, OK 74105 / 918 742-6424
FLW, BFL, TBF and other related tournament names are trademarks of Operation Bass, Inc. Operation Bass Inc. and Toyota Motor Sales U.S.A., are NOT affiliated, sponsored or endorsed by each other.
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