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2010 LAS VEGAS MEMORIAL DAY 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 (____)_____________ 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: ___18AA__18A__18R__ 18W__ 25O __ 25W __ 35O __ 35W __45W___ 45O__ 55W
I/We have enclosed a deposit in the amount of: _____ $250 (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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