Name__________________________________________________________________
Address________________________________________________________________
City________________________________________ State__________ Zip__________
Telephone (___________) _________________________________________________
Deposit Requirements
Please send deposit for the division
you wish to enter.
You may also prepay the full entry fee for your convenience. All fees paid at the tournament must be in cash.
| Deposit | Entry Fee | Side Pool | |
|---|---|---|---|
Championship Intermediate Beginners Liberty Cup Masters Limited Jackpot New York Doubles Seniors |
$50 $25
$100 $25 $50 $ 50 |
$400 $150 $30 $500 $150 $200
|
$200 $50
$200 $50 $100
|
(Doubles Partner________________________________________)
Mail your check along with this form to:
Nevada Backgammon Association
3342 S Sandhill #9 - Box 423
Las Vegas, NV 89121
USA.