Hole In The Wall Paintball Summer
Break Out
Pre-registration Form
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Name:_______________________________________________________________________________________________________ |
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Address:_____________________________________________________________________________________________________ |
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City:________________________________________________ |
State:____ |
Zip:__________ |
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Phone:__________________________________________ |
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Number of people
registering:_______________________________ |
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Names: |
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1 |
2 |
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3 |
4 |
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5 |
6 |
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7 |
8 |
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9 |
10 |
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| Team Name: |
| Team Web Site: |
(Team Web Site will be added to the events page
to help promote team exposure)
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Pre-register rate $10 |
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x___________ people = |
Total$______________ |
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Total Amount Paid: $________________________ |
| Side |
| Blue: _____ |
Yellow: _____ |
| Payment Method (check one): |
Cash____ |
Money Order :____ |
Check:_____ |
Mail forms to:
Hole In The Wall Paintball
68111 16th Ave.
South Haven, MI 49090
Please note that pre-registration fees are non refundable