Greater Miami International

 ENTRY FORM

  Please fill out all appropriate information. One form per person, please.  Print form and mail or fax.

Date:______________________________________________

Category:   (    ) Bowler ABC/WIBC#____________  (    )Guest  
            ( member bowlers only)
Division: Check all that apply  (    ) Regular (    ) Men (    ) Women
 (    ) Senior (    ) Men   (    ) Women

 

 Bowling Average________________ Date of Birth_______________________________
 

(month/day/year

 
Name__________________________________________________________________
Address:  ________________________________________________________________
City_________________________________________ State/Province_______________________
 
Postal Code______________________ Country_________________________
Telephone______________________________________ Fax____________________________________
E-Mail_________________________________________________
PAY:  (  ) Cash   (  ) Check  (  ) Credit Card Amount: $_________
Entry Fee: $250.00 per bowler;  $150.00 per guest (U.S. funds). Checks drawn on USA banks in U.S. funds.
Make payable to Bowling Tournaments of the Americas Association. Credit card payments please add 4 %.
(Note: Filling out below credit card information authorizes us to charge this credit card for entry fees.)
For Cedit Card  Payment - Type____________ Number___________________________________
Exp. Date___________________  Name on Card:____________________________________________
Mail to:                     Bowling Tournaments of the Americas Association 
                                    17601 N.W. 2 Avenue, Miami, Florida 33169 U.S.A.

Telephone: (305) 652-4197

 
Fax: (305) 652-6011
   or (954) 423-4081
         E-mail: [email protected]

  

Adds to the good times!