NAME OF TEAM ______________________________________________________
NAME OF LEAGUE/ASSN. TEAM PARTICIPATES IN _________________________
MANAGER'S NAME ____________________________________________________
ADDRESS ___________________________________________________________
CITY ________________________ STATE ________ ZIP __________________
COUNTRY ____________________________
MANAGER'S PHONES: OFFICE __________________ HOME __________________
FAX __________________________ E-MAIL _____________________________
CHECK DIVISION OF PLAY
OVER 50 ___ OVER 55 ___ OVER 60 ___
OVER 65 ___ OVER 70 ___ OVER 75 ___
OVER 80 ___ WOMEN ___
Highest Classification on the
Combined National Rating System: ___ MAJOR, ___ AAA OR ___ AA
Please include our team in your World Championship tournament to
be held August 20-22, 2004 in the Virginia suburbs of Washington,
D.C., USA. Enclosed is our check for the non-refundable entry fee
of $400 if paid before July 1 and $425 thereafter (if space is
available). All checks should be made payable to I.S.S.A in US
Dollars.
________________________ _______________________________________
Date Manager's Signature
For additional information contact:
R. B. Thomas, Jr., Executive Director
9401 East Street
Manassas, Virginia 20110-5414
703/368-1188-W or 703/594-2586-H
ENTER NOW, THEN PLEASE COPY AND DISTRIBUTE TO SENIOR TEAMS IN YOUR AREA
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