LH TAP TEAM REGISTRATION PAGE

Division

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*  Required field

*

*

Team Name

Team captain's name

Host location, ph # if possible and number of tables

*

Note...To balance divisions out you may not get in the division you submitted.

Team capt. ph. # and e mail address

Table size

NOTE...BEFORE YOU ADD AND PLAY A NEW PLAYER

I WILL NOT PUT THEM ON THE ROSTER UNTIL I GET THEIR $20 A YEAR MEMBERSHIP IN MY OFFICE.

SEND IT TO

SAM RULLO

167 FELTEN LANE

BERLIN, PA. 15530

ESTABLISHED PLAYERS:

CHECK YOUR MEMBERSHIP EXPIRATION DATE. YOU WILL HAVE 30 DAYS AFTER THAT DATE TO GET YOUR MEMBERSHIP IN OR YOU WILL BE DROPPED FROM YOUR TEAM ROSTER.

Team members and ID #'s 1. 2. 3. 4. 5. 6. 7. 8.

Bedford -Mon. 8 BallGreensburg-Irwin- Mon 8 BallJohnstown/Portage Mon 9 BallJohnstown- Tues.-8 BallJohnstown 219- Tues.-8 BallSomerset- Tues. 8 BallEbensburg-Tues. 8 BallMt. Pleasant -Wed 8 BallGreensburg- Wed. 8 BallFrostburg - Thurs. 8 Ball

Comments:

7  or 8 foot9 foot table