| ___________________________________________________ | (_____)______________ | ||
| ___________________________________________________ | _____________________ | ||
| ___________________________________________________ | _____________________ |
| Entry Fee | |||
| _____ $75 Premier | _____ $60 Division A | _____ $50 Division B | |
| _____ $50 Division C | _____ $50 Division D | _____ $20 Newcomers |
| Hotel/Commuter Fee | ||||
| _____ $175 pp/double | _____ $300 single | _____ $133 pp/triple | _____ $112 pp/quad |
| _____ $10 commuter (all non-hotel attendees must pay to defray playing room costs) |
| ________________________________________________________roommate name(s) |
| For $25, those not staying at the hotel can join us for the Saturday buffet dinner. Check here _______ if interested and please include an additional $25 with the entry fee check. |
| TOTAL ENCLOSED $______ |