Please copy and print this
entry form with your information.
Upon receipt of your deposit
I will email you a confirmation.
Entry Form OSBC ABT
2012 Tournament
Cleveland Marriott Airport Hotel
4277 W.150th St.
Cleveland, OH 44130
800-228-9290
*** Final registration must be paid by 10:00 PM on Friday March 23RD.********
There will be no registrations accepted on Saturday March 24th except for the Novice Division !!!!!
Name________________________
Address
________________________
City ________________________
State/Country
____________________
Zip Code _____________________
Phone
_________________________
Dave of arrival, Thursday,
Friday, or Saturday. (Circle one)
Check all that apply**
____
____ Amateur Jackpot $100.00 Side Pool $50.00 **pre-registration
for early session on Friday is required**
____ Open Division $250.00
Side Pool $100.00
____ Advanced Division $150.00
Side Pool $30.00
____ Novice Division $40.00
____ Doubles $150.00 per team.
_____Deposit for Ohio Masters
is $50.00
_____Deposit for Amateur
Jackpot is $25.00
_____Deposit for main event
is $20.00 Minimum
_____ Total Amount Sent
Mail this postmarked by March
15TH with a deposit check or money order made payable to:
Joseph Miller
1066 Winston St.
Akron, OH 44314