Entry Form

U.S. Open Backgammon Championships

Pre-registration Deadline is April 17, 2017

IF ANY PROBLEM
Call Howard Markowitz
(702) 218-8238

April 26-30, 2017

Make checks payable to Nevada Backgammon Association.
**Players arriving after 9:00 PM Wednesday
April 26th must prepay all main tournament fees**

 

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. 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
Intermediate
Beginner
Super Jackpot (Pick One Start Time)
$250 Side Pool
$250 Side Pool
     
Limited Jackpot (Pick One Start Time)
$100 Side Pool
$100 Side Pool

DOUBLES (starts Thursday @ 8:00 PM)

    Late Fee - Add $25 if Postmarked after April 17, 2017

 

Amount Enclosed $__________________

Mail your check along with this form to:
The Nevada Backgammon Association
c/o Howard Markowitz
1001 Dumont Blvd. #115
Las Vegas, NV 89169
www.nvbg.com