SINGLES ENTRY FORM
InterCity 500 club
TOURNAMENT DATE:_______________________
Name___________________________________________Phone__________ AVG_________
Address________________________________CITY__________________ZIP____________
USBC#_________________ 500 CLUB # _____________
ENTRY FEE: $20.00
PAYABLE TO: INTERCITY 500 CLUB
MAIL TO: 9305 FREMONT WAY
RENO, NV89506
972-7481