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Please print this form, fill it out, and then
mail it to address below!
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Date:
April 4th, 2009 |
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Team Name (1st Side): |
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Division Entered: |
Men's Club: |
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Men's Collegiate: |
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Jersey Colors: |
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Team Name (2nd Side): |
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Division Entered: |
Men's Club: |
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Men's Collegiate: |
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Jersey Colors: |
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Tent & Water Package
(1 canopy tent & 3 cases of water) = $ 100.00: |
Yes: |
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No: |
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Contact Name: |
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Address: |
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Phone: |
(H) |
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(W) |
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E-mail: |
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Entry Fee:
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$ 275.00 per 1st Team
| ______ $ 100.00
per Additional Team
Total enclosed:
____________ | Entry Fee Deadline:
March 14th, 2009 |
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Make Check Payable to: |
Mike Opels |
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Mail your Registration
Form and Check, by
the14th of March,
to: |
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19th Annual All Fools Classic
c/o Mike Opels, 403 W. Freeman Street
#9, Carbondale, IL 62901 |
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Check #: |
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Date: |
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Amount: |
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Authorized by: |
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Questions:
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Contact Mike Opels, SIU Men's Club
President, 815-482-2142
or
Luke Mathews, 217-898-6455 |
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If
you need a receipt, other than your cancelled check,
make copy of the filled out form and use it as your
receipt! |
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