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 Winter Nationals tournament to be
held on October 1-3, 2010 at Virginia Beach, Virginia. Deadline for entries
is September 15, 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 $495.00. 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
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