SCRABBLE Smackdown Registration

PAY AND REGISTER VIA  EVENTBRITE REGISTRATION

Registration Form

TEAM Name:

DIVISION (check): □Pro* □Semi-Pro* □Rebel*   □Student ($30 per team**)

Team Leader

Name:
Address:
City: State: ZIP Code:
Email: Phone: T-Shirt Size:  S  M  L  XL  2X

Player 2

Name:
Address:  
City: State: ZIP Code:
Email: Phone: T-Shirt Size:  S  M  L  XL  2X

Player 3

Name:
Address: Address:
City: State: Zip Code:
Email: Phone: T-Shirt Size:  S  M  L  XL  2X

Payment Options

Mail your registration form with a check or money order to: The Literacy Center Attn: SCRABBLE® 3411a N First Ave. Evansville IN 47710 or pay by credit card by completing below.
Name on Card: Credit Card Type:  (circle) Visa- Master Card – Discover
Credit Card #: Expiration Date:
Amount to charge:    $  
Signature of card holder: Date:

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