ENTRY FORM

ENTRY DEADLINE: FINAL ENTRY DEADLINE WILL BE MAY 12, 2006

ENTRY FEE: $225.00 (MUST ACCOMPANY THIS REGISTRATION)

• MAIL TO:

  • LARRY LEWIS
    

  • P.O. BOX 3231
    

  • GREAT FALLS, MT. 59403
    

  
  
  CONTACTS:
  • LARRY LEWIS CELL (406) 870-0622 WORK (406) 453-5457
  • E-MAIL: llewis@bresnan.net
  • ED KRISKOVICH (STATE JO COMMISSIONER) 1-406-252-8555
    

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  PHONE __________________________________ PLEASE ENCLOSE $225.00

  DIVISION: U-12_____ U-14 _____ U-10 _______ U-16

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