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(Please type or print clearly)
Name_______________________________________________________________Age_________
Name to be used for records__________________________________Date of Birth _____________
(mm/dd/yy)
Address__________________________________________________________________________
City_____________________________________State/Prvince______________________________
Country_____________________________________________Postal Code___________________
Telephone:(work)____________________________(home)_________________________________
Fax:_________________________________E-mail_______________________________________
(circle one) MALE FEMALE
If you are a member of USBC write member number: _________________
REQUIRED CODE as provided by tournament:_________
Date___________________________________________
AUTHORIZING OFFICIAL: for Federations' entries.
(if ENTRY is directly invited by the BTAA only, not through a Federation, please use "BTAA" in "Association Name")
Name:______________________________________________________Title__________________
Association Name__________________________________________________________________
Telephone:(day)__________________________________________Fax:______________________
E-mail:__________________________________________________________
Return completed form to: Bowling Tournaments of The americas Association
1830 N. University Drive #208, Plantation, Florida 33322
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