|
Online Registration Form |
Dear Name,
You have completed your entry form for the month MJBT event. To submit, please print this form using your internet browser and send this page (with all applicable fees) to:
| MJBT |
| c/o Chris Gamec |
| 1055 Minnehaha Avenue West |
| Saint Paul, MN 55104-1548 |
NOTE: Please remember to issue separate checks/money orders if registering for more than one event.
| Event Date | month |
| Player Name | Name |
| Hand | Hand |
| Male / Female | Sex |
| Age (as of 8/1/08) | Age |
| Address | Address |
| City, State, Province | CityState |
| Zip | Zip |
| Phone | Phone |
| Alternate Phone | AltPhone |
| USBC Sanctioned | Sanctioned |
| Membership / Bowler ID # | ID |
| Home Bowling Center | HomeCenter |
| Center Location | CenterCitySt |
| Entry Fee | entry |
| Late Entry? | late |
| Membership | membership |
| Bracket Entries | brackets |
| Junior Gold | jog |
| Fines | fines |
| Fines Amount | fineamount |
| Total Entry Fees | TotalPaid |
| Entry Paid By | PaidBy |
| Notes | Notes |
Form Revision 08/14/2007