2002 Team Tournament home

2002 Team Tournament Registration Form

Team Name ___________________________________

Captain ___________________________________

Captain: Please fill out and send by 11/13/02 to: Judy Horn, 4 Summit Drive #005, Reading MA, 01867
List team members by rating: Player 1, highest, to Player 4, lowest. Any member may be Captain.
If any player wishes to pay individually, please enter 0 at $ Enclosed.

We accept on-line payment by PayPal (jhornx2@aol.com)

Player 1 __________________________________________________	NSA# ______________________
Address ______________________________________ Apt# ______	Phone _____________________
City/State/Zip _____________________________________________	Email ______________________
Roommate ___________________________________________________	$ Enclosed: Registration $_____

Player 2__________________________________________________	NSA# ______________________
Address ______________________________________ Apt# ______	Phone _____________________
City/State/Zip _____________________________________________	Email ______________________
Roommate ___________________________________________________	$ Enclosed: Registration $_____

Player 3__________________________________________________	NSA# ______________________
Address ______________________________________ Apt# ______	Phone _____________________
City/State/Zip _____________________________________________	Email ______________________
Roommate ___________________________________________________	$ Enclosed: Registration $_____

Player 4__________________________________________________	NSA# ______________________
Address ______________________________________ Apt# ______	Phone _____________________
City/State/Zip _____________________________________________	Email ______________________
Roommate ___________________________________________________	$ Enclosed: Registration $_____

Total enclosed $_______

2002 Team Tournament home