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| LAS VEGAS MEMORIAL DAY TOURNAMENT REGISTRATION
(Four easy ways for you to register for the Atlantic City Memorial Day Tournament)
1. Complete the registration form and payment online at www.dugout.org on the Atlantic City Memorial Day Tournament “Sign up now button” and hit the submit key when finished. 2. Send this information with your credit card information via e-mail to NABANational@aol.com 3. Complete the registration form and fax it to (303) 639-6605 4. Complete the registration form and mail to NABA National headquarters at 3609 S. Wadsworth Blvd, Ste. 135, Lakewood, CO 80235.
Be sure to include your deposit.
Manager’s Name _________________________________________________________ Player Pool Name ______________________________________________
Address _______________________________________________________________ City ______________________________ ST _______ Zip ______________
Day Phone (_____)____________________________ Home Phone (_____)_______________________________ Fax (_____)______________________________
NABA League __________________________________________ Email: _______________________________________________________________________
League President ________________________________________________________ Team Name ___________________________________________________
Please check only one: _______________ Complete team. _________________ Partial team. ________________ Individual player pool player
I/We plan participate in the following division:
_____18 Wood - Majors ______18 Wood – Minors _____ 18 Wood - Rookie______ 25W _____35W _____45W_____50W
I/We have enclosed a deposit in the amount of: ______________$500 (Team) _______________ $500 (Partial team) _______________ $100 (individual)
Deposit submitted is made by: __________ Certified funds or money order __________ Visa __________ Master card ___________AMEX ________
Amount Authorized $____________________ Expiration Date _________________________ Security Number _________________________________________
Name on Card ________________________________ Billing Address __________________________________________________________________________
Credit Card Number ___________________________________________________________________________________________________________________
Card Holders Signature ________________________________________________________________________________ Date ____________________________ (By signing this card holder signature form you are verifying that you are the card holder of the credit card being used in this transaction. Furthermore, you agree to allow the NABA to use your credit card for the amount authorized by you in the above registration for services rendered by NABA.)
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