» Juniors

Junior Satellite Entry Form (Mar04)

OFFICIAL ENTRY FORM FOR JUNIOR SATELLITE TOURNAMENTS

USTA Membership required
(obtain a Membership by calling 1-800-990-8782)

Please print form, fill out, and mail or fax to:
USTA Phoenix Area
3228 E. Indian School #105
Phoenix, Arizona 85018
602-955-8721 (fax)

Name:______________________________________________

Address:____________________________________________

City/State/Zip:_______________________________________

Telephone No:________________________

 

USTA Membership No:__________________       Expiry Date: __________________

Birthdate:_______________________     

Junior Satellite Tournament Entered (Month):_______________________

Age Division:__________________

 

Entry Fee $14.00 (Entry Fee must accompany this form.)

Name on Credit Card:__________________________________ 

VISA or M/C credit card no:_________________________       Expiry Date: _____________

 

 

 
 
 
 
 
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