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 ______________________________________________
 
Address 
______________________________________________
 
City, State, Zip 
______________________________________________
 
Telephone 
__________________    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
   
 ___________________
TOTAL AMOUNT ENCLOSED
     
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.
 
 
__________________________________________
SIGNATURE


 
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Original Material and HTML Coding Copyright 2002 by Michael Schell. All Rights Reserved.