PAY AND REGISTER VIA EVENTBRITE REGISTRATION
Registration Form |
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TEAM Name: |
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DIVISION (check): □Pro* □Semi-Pro* □Rebel* □Student ($30 per team**) |
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Team Leader |
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Name: | ||
Address: | ||
City: | State: | ZIP Code: |
Email: | Phone: | T-Shirt Size: S M L XL 2X |
Player 2 |
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Name: | ||
Address: | ||
City: | State: | ZIP Code: |
Email: | Phone: | T-Shirt Size: S M L XL 2X |
Player 3 |
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Name: | ||
Address: | Address: | |
City: | State: | Zip Code: |
Email: | Phone: | T-Shirt Size: S M L XL 2X |
Payment Options |
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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: |