Texas Shoot-out Entry Form

March 15 thru 17, 2013

E-mail Address: *

Name: *

Address: *

City: *

State: *

Zip: *

Phone Number: (Home)

Phone Number: (Cell)

AWBA Member Number: *

USBC Member Number: *

Division Entering: *

Scratch
Handicap

2012/2013 Book Average:
ENTERING AVERAGE: AWBA ADJUSTED TOURNAMENT AVERAGE WILL BE USED UNLESS YOUR 2011/2012 BOOK AVERAGE IS HIGHER.
IF NO BOOK OR ADJUSTED AWBA AVERAGE, THE CURRENT 21 GAME AVERAGE AS OF MARCH 1ST, 2013.

What Events are you entering? *

Singles: Entry Fee $85.00
Doubles: Entry Fee $30.00*
Up/Down: Entry Fee $25.00

–If you selected “Doubles”, please enter your partner’s Name and Average:

–or select “Please Pair”

–If you selected “Up/Down”, please enter your partner’s Name(s) and Average(s):

–or select “Please Assign” (3 person teams)

Donation Method: *

Check
Credit Card

If check please mail your entry fee to: Gary Ryan
– 16006 Congo Lane
Houston, Texas 77040
Make Checks payable to: AWBA 2013 Shootout.
If paying by credit card, go to AWBA.org and click on the donate button and follow the directions for payment.

* RequiredConfirmation will be sent via email

For more information, click here.

Texas Shoot-out Entry Form

March 15 thru 17, 2013

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