2010 ISSA WORLD CHAMPIONSHIPS
MANASSAS, VIRGINIA
AUGUST 13-15, 2010

ENTRY FORM

 
      NAME OF TEAM _____________________________HOMETOWN _____________________
      
      
      AGE CLASSIFICATION _____________ SKILL LEVEL RATING ____________________
      
      
      MANAGER’S NAME _________________________EMAIL __________________________
      
      
      MAILING ADDRESS ________________________________________________________
      
      
      CITY ____________________ STATE _____ ZIP _________ COUNTRY ____________
      
      
      MANAGER’S PHONES: HOME____________________ OFFICE ______________________
      
      
                        CELL ____________________ FAX ________________________
      
      Please include our team in the 2010 ISSA World Championship tournament to
      be held on August 13-15, 2010 on Northern Virginia.  Deadline for entries
      is July 13, 2010.  Rosters should be submitted with your entry form and fee
      (signatures can be added at the event).  Enclosed is our check for the non-
      refundable entry fee of ___________(see factsheet).  All checks should be 
      made payable to I.S.S.A. in US dollars.
      
      ___________________________________________ _________________
       Signature                                  Date
      
      
      Mail your entry to: RB Thomas, Jr., ISSA Executive Director
       9401 East Street
       Manassas, VA 20110
      
      
      For additional information call the ISSA Office at 703-368-1188 or 
      email issa94@aol.com  
    



   ENTER NOW, THEN PLEASE COPY AND DISTRIBUTE TO SENIOR TEAMS IN YOUR AREA