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Name*
Address*
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
E-mail Address*
2009-2010 Membership No.*
Local USBC Association*
2007-2008 Highest Average*
2008-2009 Highest Average*
2009-2010 Current (21 Games +) Avg.*
Any Above Averages From A Sport League?*	Yes   No
If Yes, Indicate Which Averages
Ever Been Re-Rated By A Bowling Tournament?*	Yes   No
If Yes, What Was The Re-Rate?
Where Did The Re-Rate Come From?
You must list winnings in excess of $1000/24months*
Preferred Squad Dates*
Preferred Squad Times*
Preferred Squad Organizer*
2010 Repeat Entry?*	Yes   No
Male Or Female*	Male   Female
You must agree or disagree*	I Agree   I Disagree
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