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JSVBA Entry Form

Complete and mail with a check payable to 
JSVBA,  1504 Boat Landing Rd.,  Pt. Pleasant,  NJ  08742

or call (732) 714-9963  Fax to (732) 714-9958  E-Mail to jsvba@aol.com

Please Print	Circle or Highlight appropriate Items:

Tournament Date:  ___/___/02 Sat or Sun Event Name________________________________

Site:   Pt. Pleasant     Seaside Heights     Long Branch     North Wildwood   Avon

Circle Division:
Men's 2's   	 Pro/Open/AAA,    AA,    A,    BB,    B      
Women's 2's      Pro/Open/AAA,    AA,    A/BB,     B
Co-Ed 2's     	 Pro/Open/AAA,    AA,    A/BB,     B
4's	          A,      B  

Other _________________________________

Player 1 Name________________________________________________________________

Addr__________________________________________________________________

City_________________________________________________State_____ Zip____________ 

Phone #  Home (____)_____-____________	Work  (____)_____-____________

Age ______   M F


Player 2 Name________________________________________________________________

Addr__________________________________________________________________

City_________________________________________________State_____ Zip____________ 

Phone #  Home (____)_____-____________	Work  (____)_____-____________

Age ______   M F

Player 3 Name________________________________________________________________

Addr__________________________________________________________________

City_________________________________________________State_____ Zip____________ 

Phone #  Home (____)_____-____________	Work  (____)_____-____________

Age ______   M F


Player 4 Name________________________________________________________________

Addr__________________________________________________________________

City_________________________________________________State_____ Zip____________ 

Phone #  Home (____)_____-____________	Work  (____)_____-____________

Age ______   M F

Player 5 Name________________________________________________________________

Addr__________________________________________________________________

City_________________________________________________State_____ Zip____________ 

Phone #  Home (____)_____-____________	Work  (____)_____-____________

Age ______   M F

For 6's: Print Again and attach as many as Necessary            

Amount Enclosed =  $_______