2010 USBC Masters Registration
Entry fee: $460 before January 1 and $510 after January 1
On-Line entries will be available until Wednesday, February 3.
After Wednesday entries must be made on site at the National Bowling Stadium on Saturday or Sunday, February 6 or 7.
1.
First Name
*
2.
Last Name
*
3.
Street Address
*
4.
City
*
5.
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
6.
ZIP Code
*
7.
E-mail Address
*
8.
Daytime Phone
9.
Evening Phone
10.
Social Security Number
*
11.
Membership Status as of AUG. 1, 2009
*
PBA FULL
PBA STANDARD
NON-PRO
12.
Bowling Hand
*
Right-Handed
Left-Handed
13.
USBC Member ID#
*
14.
2008-09 League Name
15.
2008-09 USBC Average
16.
Charge Card
*
Visa
Mastercard
17.
Charge Card Number
*
Make sure you have 16 digits for card number
18.
Expiration Date
*
19.
Card Holder's Initials
*
To authorize charge to credit card. Form will not be processed without initials
*
Indicates Required Field