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2010
ATLANTIC CITY TOURNAMENT
REGISTRATION
Print and complete form,
mail it to NABA National headquarters at 3609 S. Wadsworth Blvd., Suite
135, Lakewood, Colorado 80235 or Fax it to: 303.639.6605
Be sure to include
your deposit.
Manager’s
Name ___________________________________
Player’s
Name___________________________________ _
Address
_______________________________________________
City
__________________________ ST _____ Zip _______
Day Phone (______)_____________ Home Phone (____)_____________
FAX (_____)___________________
NABA League______________________ Email:____________________
League
President ____________________________________________
Team
Name__________________________________________
Please check only one: ____ $500 Complete team. ___ Partial team.
__ Individual player pool player
I/We plan participate in the following division:
__18 Open __18AA__18A__18R__
25R__35R __45R__55R
I/We have enclosed a deposit in the amount of: _____ $500 (Team)
______
(Partial team) ________ (Individual)
Deposit
submitted is made by: ______ Certified funds or money order ________ Visa
________ Master card _________AMEX
Amount Authorized $_____________ Expiration Date __________
Credit Card Number ________________________________
Card
Holders Signature____________________________ Date ________
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