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USA Nationals Saturday, August 13, 2005
MAIL-IN entry Must be RECEIVED by: Wednesday, August 10, 2005 Print Out this Page, Complete ALL Information, Enclose Payment, and Mail to Address Below. |
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$60.00 Entry Fee Due for this 2-Person Team Please accept our official entry into the 2005 USA Nationals. Enclosed is our contact information and Entry Fee for both players below: |
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| Notes: Team Name is OPTIONAL - Last Names will be used on Scoreboard if no Team Name is given. Email address is required for at least one player on each team - this is the primary method to send you important information or updated status of the tournament. Telephone calls used only as a last resort. | |
| Team Name: ________________________________________________ (OPTIONAL) | |
| Player #1 (Applicant) | Player #2 (Teammate) |
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________________________________________ Name |
_________________________________________
Name |
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________________________________________
Address |
_________________________________________
Address |
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________________________________________ City, State, Zip |
_________________________________________
City, State, Zip |
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(_____) _______ -- ____________ Telephone |
(_____)
_______ -- ____________
Telephone |
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________________________________________ Email Address |
__________________________________________
Email Address |
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NON-COMPETE REQUEST If other teams you pitch regularly with your local quoit club are registered for this event, and you do not wish to pitch against them in the same division during Pool Play, please list the names for each team, or their team names, below. We will do our best to separate your club teams into different divisions so you do not directly compete against them until the playoffs. |
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________________________________________ Team Name or Both Player's Full Names |
________________________________________ Team Name or Both Player's Full Names |
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________________________________________ Team Name or Both Player's Full Names |
________________________________________ Team Name or Both Player's Full Names |
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REGISTRATION VERIFICATION Please write the name of the tournament you are registering for on the line at right, so we may verify that you are registering for the proper Tournament using the correct form for the event. |
________________________________________ I am Registering for the above Tournament |
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Please Print this Page, Complete ALL Information Above, and Enclose Payment. Please make Personal Checks Payable ONLY to "Ken Kaas" Mail your registration to: |
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Ken Kaas 29 Orchard Lane Boyertown, PA 19512 |
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| Thank you very much for your participation. We look forward to seeing you there! | |
