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2004 North American Championships™ Entry/Registration
Form |
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This form must be
filled out completely & correctly and include the registration and board fee
and the full amount of the
entry fee
for the event(s) you are entering. No reservations will be accepted
unless accompanied by this form. |
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ONE PLAYER PER FORM, PLEASE PRINT! |
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Name: |
Rating: |
Decimal Rating: |
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Address: |
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City: |
State/Province: |
Zip/Postal Code: |
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Home Phone: |
Work Phone: |
Cell Phone: |
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Email Address: |
| □ Registration Fee: (must
be paid by all players) |
$ 25.00 (per
player) |
$ 25.00 |
| □ Board Fee: (must be paid by
all players) |
$ 10.00 (per
player) |
$ 10.00 |
| □ Pro/Am Draft Team Event |
$ 50.00 (per
player) |
|
| □ Pro Singles ($200 for -0.01 to
-.50 players) |
$300.00 |
|
| □ Division I Singles |
$100.00 |
|
| □ Division II Singles |
$ 75.00 |
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| □ Division III Singles |
$ 50.00 |
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| □ A/B Draw Partners (for -1's, 0's & 1's) |
$ 50.00 (per
player) |
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| □ A/B Draw Partners (for -2's, 3's, 4's & 5's) |
$ 40.00 (per
player) |
|
| □ Four Person Add to 1 |
$300.00 (per
team) |
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| □ Four Person Add to 9 |
$200.00 (per
team) |
|
| □ Pro Doubles (-1's may not play
together) |
$125.00 (per player) |
|
| □ Division I Doubles (0's may not
play together) |
$100.00 (per
player) |
|
| □ Division II Doubles |
$ 75.00 (per
player) |
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| □ Division III Doubles |
$ 50.00 (per player) |
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| Total Enclosed (Be sure to include $35.00 for
Registration Fee & Board Fee) |
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| Doubles
Partner____________________________________________________ |
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Teammates for 4 Person Team - Do not fill this part out unless
you are the Team Captain:
______________________________ ______________________________ _______________________________
If your are not on a team, but
would like to be on one, check here
□ |
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● |
Registration Fee and Board Fee are non refundable and must be paid by
all players, no registration form will be accepted without them. |
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● |
All players must be registered guests of the Sands Regency Hotel
Casino. Room rates are $29.00, plus tax, for Sunday through Thursday and
$59.00, plus tax for Friday and Saturday. There is a maximum of two
players per room. To make room reservations, call the Sands Regency at
800-648-3553 and tell them your group code number is SHU1027. |
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● |
Entries for each event will be accepted, in the order received, until
that event is full, or until the day prior to that event, whichever comes
first. Entries postmarked after October 9 are subject to a $5.00
penalty for registration, and for each event entered. |
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● |
Please send your check along with this form
to: The Shuffleboard Federation, PO Box 549, South Lyon, MI 48178-0549. For more
information, please call 800-380-3033, or go to the NASC™ web site, www.2004nasc.com |
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05/21/04 |
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