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19th BOB
VIDUCICH STIGA PACIFIC RIM OPEN SEND THIS FORM
ENTRY FORM: BOB VIDUCICH STIGA PACIFIC RIM 2007
Entry deadline is October 30, 2007
Name:__________________________________________________
Address:__________________________________________________________
City, State, Zip:___________________________________________________
Phone: __________________________Birthday _____/_____/____
E-Mail Address ___________________________________________
USATT Membership No. ____________________USATT expiration date _____/_____/_____
Rating (if known)________________
All participants must be USATT or ITTF affiliated members. If not a member of USATT or ITTF you must join USATT. All USATT regulations apply. All decisions by the tournament committee is final.
Enter Your Doubles Partner’s Name
Open_______________________Mixed___________________________2400________________________
3200________________________4000____________________________
Events Entered (write event number): ____, ____, ____, ____, ____, ____, ____, ____, ____, ____, ____
Send Entries and Checks To:
Ken Ping/ PTTC 16635 NW Yorktown Dr. Beaverton, OR 97006
Make checks payable to the Portland Table Tennis Club. Entries without checks will not be included in the draws.
I will abide by all USATT regulations. I accept full responsibility for my participation and relieve the sponsors and the USATT from any liability for injury to myself or damage to my property. If a player is under age 18, their parent or guardian must sign.
Signature:_____________________________________ Date:______________________________________ PLAYERS MUST SIGN THE USATT WAIVER WHEN THEY CHECK IN |