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Please complete the tournament
registration online, or mail, email, or fax to the NABA National Office
Tournament Registration
You can complete this tournament registration
form and make payment online at www.dugout.org. Or complete this form, and fax
it to 303-639-6605, or mail it to NABA National headquarters at 3609 S.
Wadsworth Blvd., Suite 135, Lakewood, Colorado 80235. Be sure to include
your deposit.
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Manager's Name |
_____________________________ |
Player Pool Name________________________ |
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Address |
_____________________________ |
City_________________________ St____ Zip_______ |
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Day Phone |
(___)____________ |
Home Phone(___)_______________ Fax (___)___________________ |
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NABA League |
_____________________________ |
Email: _________________________________ |
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League President |
_____________________________ |
Team Name_____________________________ |
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Please check only one |
______A complete team. _______ |
A partial team. _______ An individual player pool |
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I/We plan to play in the following division:__18's__18's
W__28's__28'sW__35's__35'sW__45W__ 45's__ 50W___55W__60W |
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Please list the past five (5) years you have attended an NABA
World Championship Series and the following information: |
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Team Name |
Year |
Division |
Record |
Did you make the playoff |
Did you make the Championship |
Were you Champion |
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1._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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2._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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3._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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4._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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5._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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Is this your first year attending the NABA World Championship Series?_______ |
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Please list the NABA tournaments you have attended in the past two (2) years
and the following information: |
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Team Name/Tournament |
Year |
Division |
Record |
Did you make the playoff |
Did you make the Championship |
Were you Champion |
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1._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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2._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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3._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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4._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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5._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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6.________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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7._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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8._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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Please list your league?____________________ and answer the following
information for the past two years: |
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Team Name |
Year |
Division |
Record |
Did you make the playoff |
Did you make the Championship |
Were you Champion |
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1._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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2._________ |
___ |
______ |
_____ |
_________________ |
______________________ |
______________ |
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Which division according to the 2010 Tournament Entry and
Eligibility Rules would you like to see your team participate in: |
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18AAA___18AA___18A___18R___18W___28AL___28W___35AL___35W___45W___45A__50W___55W__60W___ |
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I/We have enclosed a deposit in the amount of:______$350
(Team)________$350 (Partial team)_______$175 (Individual) |
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Deposit submitted is made by:____ Certified funds or money order_____
Visa______ Mastercard____ Amex |
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Amount Authorized $______ Expiration Date_______ Credit Card
Number__________________________ |
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Card Holders Signature_________________________________________
Date_____________________ |
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Please list your credit card security numbers?____________
Check here if the credit card billing address is the same as the address
above___________ |
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