Dixie 2005 Holiday Tournament Online Application

Please complete the following entry form. ALL FIELDS ARE REQUIRED FOR EACH BOWLER ENTERING TOURNAMENT UNLESS OTHERWISE INDICATED. If you do not have a complete team, please indicate at least one bowler as team captain (for registration purposes only).

If you plan to pay for team entry online, you must first complete and print this form. Or, you can complete this form online, print it, and mail in your entry with certified funds payment.

 Optionally Pay Your Entry Online Via Secure Credit Card Payment
You Can Pay For Your Entry Online Via Secure Credit Card Payment
NEW THIS YEAR!
Dixie no longer charges online processing fees!
Team Name: 
DOUBLES PARTNER A-1DOUBLES PARTNER A-2
Team Order #:   Male Female Team Order #:   Male Female
First Name
 MI
 Last Name
First Name
 MI
 Last Name
Nick Name (for Badge)  Nick Name (for Badge) 
Birth Date (for IGBO)    Team Captain Birth Date (for IGBO)    Team Captain
E-mail (Required if Team Captain)
 E-mail (Required if Team Captain)
Street Address

 Street Address
City
 State/Prov
 Postal Code
City
 State/Prov
 Postal Code
Country   Phone  Country   Phone 
ABC/WIBC ID   League  ABC/WIBC ID   League 
High '03-04 Book Avg    No. Games  High '03-04 Book Avg    No. Games 
Regular Entry ($39.00)
Select boxes below for additional options:
Optional Handicap All Events (Add $10.00)

Total for this Bowler: To be calculated
Regular Entry ($39.00)
Select boxes below for additional options:
Optional Handicap All Events (Add $10.00)

Total for this Bowler: To be calculated

This section is left blank for printing purposes. Scroll down to continue Dixie tournament registration process.
DOUBLES PARTNER B-1DOUBLES PARTNER B-2
Team Order #:   Male Female Team Order #:   Male Female
First Name
 MI
 Last Name
First Name
 MI
 Last Name
Nick Name (for Badge)  Nick Name (for Badge) 
Birth Date (for IGBO)    Team Captain Birth Date (for IGBO)    Team Captain
E-mail (Required if Team Captain)
 E-mail (Required if Team Captain)
Street Address

 Street Address
City
 State/Prov
 Postal Code
City
 State/Prov
 Postal Code
Country   Phone  Country   Phone 
ABC/WIBC ID   League  ABC/WIBC ID   League 
High '03-04 Book Avg    No. Games  High '03-04 Book Avg    No. Games 
Regular Entry ($39.00)
Select boxes below for additional options:
Optional Handicap All Events (Add $10.00)

Total for this Bowler: To be calculated
Regular Entry ($39.00)
Select boxes below for additional options:
Optional Handicap All Events (Add $10.00)

Total for this Bowler: To be calculated
Totals and Verification
GRAND TOTAL ENCLOSED: To be calculated

 I CERTIFY THAT I HAVE READ TOURNAMENT RULES AND ENTRY REQUIREMENTS.
TO THE BEST OF MY KNOWLEDGE. ALL INFORMATION ON THIS FORM IS TRUE AND CORRECT.

________________________________________________
(signed) Team Captain
Special Instructions from Captain / Entry Comments:
 

Tournament Use Only
Entry Number

 

 Postmarked

 

 Amt Enclosed

 

 PayPal Confirmation