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WON
BASS
P.O. Box 73370 San Clemente, CA 92673 (949) 366-0030 X 38 Fax (949) 366-0804 |
Miller
High Life Tour 2004 Online tournament entry form
Please print out, fill in and mail to:
WON BASS
P.O. Box 73370
San Clemente, CA 92673
Name
________________________________________________________________
Address ______________________________________________________________
City _______________________________ State _____ ZIP Code ______________
S.S. # _________________________ Day Phone # (______)_________________
Email
address: ________________________________________________________
I am entering the below circled tournament
as a PRO $350 ____ AAA $175 _____
I also wish to enter $50 Option _____ and / or the High Roller $100 Option ______
I am enclosing $ ____________ as a deposit or $ __________ in full Credit card entries accepted with a 3% processing fee. We accept MasterCard / Visa / Discover cards only, please fill in the information for credit card entries.
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Type of card |
Name on card |
Card Number |
Exp date |
Zip code of billing address |
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MC / Visa / Discover |
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"All entries for Year 2004 tournaments MUST be in the office paid in full by Tuesday of the tournament week. That is the cutoff day for all entries, NO entries will be accepted after that day". If signing up with a Pro or AAA please list their name here
Pro / AAA signing up with ______________________________________
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2004 Southern Division Tournaments |
2004 Northern Division Tournaments |
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February 21-22, 2004 |
Lake Pleasant |
February 7-8, 2004 |
Shasta Lake |
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March 27-28, 2004 |
Lake Mohave |
March 13-14, 2004 |
Lake Oroville |
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May 15-16, 2004 |
Lake Mead |
April 24-25 , 2004 |
Delta - Big Break |
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October 2-3, 2004 |
Lake Havasu |
June 5-6, 2004 |
Clear Lake |