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The Arkansas State University Paintball Club & Team

Event Entry Form

 

Event Name

_______________________________________________________________________

 

Team Name

_______________________________________________________________________

 

Team Captain

_____________________________________________________________________

 

Address

_____________________________________________________________________

 

Phone Number

____________-______________-__________________________

 

E-mail Address

______________________________________@____________________________

 

I the undersigned do hereby agree to abide by the rules of the above named event.

I understand that any Money submitted at this time is non refundable.

 

 

_________________________________________________________________________________

(signature)

 

 

Amount Submitted:

 

$________________________

(circle one)Check/Money Order/Cash

(Returned checks subject to $30 return check fee and forfeiture of entry into this event)

For additional information:

Call: 268-6960

or

E-mail: arkansas_state_paintball@yahoo.com

Information online: http://AstatePaintball.tripod.com/events.html

Print This Form, Fill out and Send to:

Arkansas State Paintball Club & Team

C/o Brad Deckard

2410 Mary Jane

Jonesboro, AR 72401

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