2006-2007 MISSISSIPPI VALLEY BOWLING TOUR - OFFICIAL ENTRY FORM

ENTRY FEE OF $60.00 MUST ACCOMPANY ENTRY FORM.

A MEMBERSHIP FEE OF $10.00 MUST ACCOMPANY THIS ENTRY.

 (IF IT IS YOUR 1ST ENTRY THIS SEASON)

DATE & TIME

10:00 STARTING TIME-CHECK IN BEGINS AT 9:00

LOCATION

 

NAME

 

CITY

 

ADDRESS

 

STATE

 

HOME PHONE

 

ZIP CODE

 

EMAIL

 

DIVISION (CIRCLE ONE)

 OPEN     SENIOR     WOMEN

 

PLEASE MAIL ENTRIES TO:

RYAN ERICKSON

3301 53RD ST.

MOLINE, IL 61265

FOR ADDITIONAL INFORMATION, CALL DIRECTORS

RYAN ERICKSON  309 797-6925

SCOTT CARPENTER  563 505-3788

 

  

Please Put Check Mark Next to Appropriate Item and Total at Bottom

Entry

$60.00

Membership

$10.00

High Game Pots

$6.00

Break The Bank

$4.00

Bet You Win

$10.00

Total Money Sent With Entry

 

 

 Brackets entered at check in – CASH ONLY

 High Game Pots, Break the Bank and Bet You Win can also be entered at tournament.

 If you cannot attend the tournament, please notify a Director and money will be refunded 100%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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