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Name: |
_____________________________________________________________________ |
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Address: |
_____________________________________________________________________ |
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City: |
__________________________________________ State ______ Zip Code ________ |
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Telephone : |
Area Code (_____) __________________ |
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Email Address : |
______________________________________________ |
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Deposit Requirements:
Please send registration fee indicated below for the Division
you wish to enter. You may also prepay the entry fee for
your convenience.
All
fees paid at the tournament must be in cash.
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Late Fee - Add $25 if Postmarked after November 1, 2010 |
Mail your check along with this form to:
Howard Markowitz
The Nevada Backgammon Association
1201 N. Mitchell
Arlington Heights, Illinois 60004
www.nvbg.com
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