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Please Put Me On A Team - I understand my entry fee must be paid
(Players cannot receive prizes without SS# on file and cannot receive an age related prize without birth date on file)
(Mr.) (Ms.) First Name
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Middle:
Last Name
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Gender
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M
F
Home Phone
USBC
Work or Cell
Email
Street Address
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City
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State
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Zip Code
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Date of Birth
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+
SSN#
Recruited by:
Ever receive an average rerate/reassignment?
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Yes (received Avg. Rerate/Assignment)
No (have not received Avg. Rerate/Assignment)
Send a confirmation to everyone on the team?
Y (send confirmation)
N (no confirmation)
I have a U.S. Military background and receive a $25 discount on my $200 entry
Yes (U.S. Military Background discount)
I have read and agree to abide by the rules and regulations of the 2021 April Senior Team Classic.
PARTICIPANT'S AGREEMENT
*
I AGREE
For Team Captains
Team Name:
Team Captain:
Your squad choice:
2nd choice:
List your lineup below. It will be the same for Team, Doubles & Singles. Doubles teams are bowlers 1 & 2 and bowlers 3 & 4. See rules in brochure.
Bowler 1
Bowler 2
Bowler 3
Bowler 4
2021 April Senior Team Classic Entry Fee
Bowl 3 events – Team, Doubles & Singles
$200 per person – $225 onsite
(Entry fee includes Sidepots for Team, Doubles & Singles events)
Entry Fee $200
2021 April Seniors Team Classic Entry
Military Discount -$25
WANT MORE BOWLING?
Additional Events
Optional All-Events $20
Handicap No Tap
Handicap No Tap Mon, 6 PM – $40
Handicap No Tap Wed, 6 PM – $40
Scratch 3-Game Sweeper
Scratch 3-game Sweeper Tues, 6 PM – $40
Scratch 3-game Sweeper Thurs, 6 PM – $40
Handicap 3-Game Sweeper
Handicap 3-game Sweeper Tues, 6 PM – $40
Handicap 3-game Sweeper Thurs, 6 PM – $40
PAYMENT INFORMATION – Add 5% to total for credit card use.
Name on Card
Bill Amount:
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Credit Card Type
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CREDIT CARD NUMBER:
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Ex. Date (mm/yy)
CVV:
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Total:
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5% Will be added to your order for credit card use
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SPECIAL INSTRUCTIONS:
Please list any special instructions below.
List your 2 alternate squad choices in the box.
Also where are you staying in Las Vegas?