Entry Form

Nevada State Backgammon Tournament

Pre-registration Deadline is April 9, 2012

April 18 -22, 2012

 

Name:

_____________________________________________________________________
 

Address:

_____________________________________________________________________
 

City:

__________________________________________ State ______ Zip Code ________
 

Telephone :

Area Code (_____) __________________
 

Email Address :

______________________________________________
 

Deposit Requirements:

Please send registration fee indicated below for the Division
you wish to enter. Players arriving after 9:00 pm Wednesday, April 9, 2012 must prepay all main tournament fees. All fees paid at the tournament must be paid in CASH. You may also prepay the entry fee for your convenience.
All fees paid at the tournament must be in cash.

  Registration Fee Entry Fee Side Pool Total
Championship $150
Intermediate $50
Beginner  
 
Super Jackpot
 
 
     
Limited Jackpot
 
 
   

Late Fee - Add $25 if Postmarked after April 9, 2012

Mail your check along with this form to:

Howard Markowitz
c/o The Nevada Backgammon Association
1001 Dumont Blvd, #115
Las Vegas, NV 89169
www.nvbg.com