Wisconsin State 600 Bowling Club

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LAKESHORE LANES, 210 Airport Road, Shawano,  WI 54166

 

***DETACH BOTTOM PORTION and RETURN to***

 

***Secretary/ Treasurer,   Jennie Volkman  ***

                                                       WI State 600 Bowling Club

                                                      W10095 Mary Ln

Antigo, WI  54409 

Phone:  715-350-1637

 

 E-Mail:  wistate600club@gmail.com

 WI Club Website – www.wisconsin600club.org                             Facebook –  Wisconsin State 600 Bowling Club    

 

 

NAME: ­____________________________________________________________________   Year of Birth ____________

 

ADDRESS: ________________________________________________________  Nat’l 600# _________________  USBC # _____________________

 

                _________________________________________________________ Highest Ave _________     Assoc ___________________________

 

 

EMAIL ADDRESS:  _____________________________________________________________PHONE #____________________________________

 

Hdcp Events Entering:   Singles $25.00 _____ Doubles $25.00______ All Events $5.00 _____

Scratch Events:             Singles $10.00_____  Doubles $10.00______ All Events $5.00_____                Total:  $_______________

                                

 

 

NAME: ­____________________________________________________________________   Year of Birth _____________

 

ADDRESS: __________________________________________________________  Nat’l 600# _________________  USBC # ___________________

 

               ____________________________________________________________   Highest Ave ________    Assoc _________________________

 

 

EMAIL ADDRESS:  ____________________________________________________________ PHONE #____________________________________

 

Hdcp Events Entering:   Singles $25.00 _____ Doubles $25.00______ All Events $5.00 _____

Scratch Events:             Singles $10.00_____ Doubles $10.00______ All Events $5.00_____                 Total:  $_______________

 

 

 

 

 

PREFERRED Date/Time (list three)

 

 DATE:      1^st _________________________ 2^nd ____________________________ 3^rd ___________________________

 

 TIME:      1^st _________________________ 2^nd ____________________________ 3^rd ___________________________

 

CONTACT PERSON: _____________________________________ Phone #____________________________

 

 E-mail _________________________________________________

 

                                                                                                                                                                                                       

TOTAL FEES ENCLOSED $ ___________________                                                                                  

 

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