Credit Card Payment via PAYPAL
REMEMBER... CASH or CREDIT CARDS ONLY at the event
All registrations will be filed by Team Name. Team members may register separately.
Please complete ALL fields! Click on "Submit" when ready to send.
Team Name:
Captain's Name:
Your Name:
Email Address:
Phone Number:
(with area code)
Street Address:
City:
State:
Zip:
Billing
How many members are you paying for at this time ?
a $35 Entry Fee will be charged for each member.
Please list the FIRST & LAST names of all EXTRA team members being paid for at this time.
Comments?
Anyone who fails to show up for play forfeits his registration fee.
No refunds will be given!
Only press submit one time please.
Thank you,
Wayne and Jackie Dollack