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BUYER’S Last Name, First Name DEALERSHIP Name State Date of Sale

BASS Federation Alliance Retail Purchase Bonus Form

Offer valid on all new Triton/Mercury/Lowrance/MotorGuide packages sold and delivered from

August 1st, 2004 through April 30th, 2005 to BASS Federation Members.

Merchandise will be shipped directly to BUYER.

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BUYER’S Street Address City State Zip Code

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Daytime Phone Number Evening Phone Number Triton Boat Model Number Triton Boat Serial Number

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Mercury Engine Model Number Mercury Engine Serial Number Lowrance Model/Serial MotorGuide Model/Serial

Shirt Size: SM MED LRG XLG 2XL

Please circle one

Attach copy of BUYER’S signed Bill-of-Sale, Triton & Mercury Warranty Registration confirmation, and a photocopy of BUYER’S B.A.S.S. Federation Membership card.

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BUYER’S Last Name, First Name DEALERSHIP Name State Date of Sale

BASS Federation Alliance Retail Purchase Bonus Form

BUYER’S Street Address City State Zip Code

Daytime Phone Number Evening Phone Number Triton Boat Model Number Triton Boat Serial Number

Mercury Engine Model Number Mercury Engine Serial Number Lowrance Model/Serial MotorGuide Model/Serial

Shirt Size: SM MED LRG XLG 2XL

DEALER’S Signature

BUYER’S Signature

Date of Delivery