2002 Northwest Washington Open entry form

Please print out, complete and sign this form. Include a check payable to Jim Hornbacher, Tournament Director, and mail to:

Jim Hornbacher
Northwest Washington Open
22811 Lakeview Drive F-309
Mountlake Terrace, WA 98043

Name ______________________________________________
City, State, Zip 
__________________    Email  ____________________
ACC member number (if applicable):
$10/$5 Q
Early Bird
$25 Doubles
(Partner name __________________ )
$50/$50 Q    High Rollers
$60 ($70 non-ACC members)   Main Event
$10 Q Main Event
$20/$10 Q Saturday Night Special
Check here to request handicapped seating

I agree to abide by the rules of the American Cribbage Congress and by the rules set by the tournament director.

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