2. MILLER LITE MEMORIAL DAY - MAY 10th
DEADLINE FOR ENTRY IS WEDNESDAY, MAY 6TH!!
  * Required Fields
CAPTAIN'S NAME: *
YOUR NAME(if not Capt):
TEAM NAME: *
ADDRESS: *
CITY: *
STATE: *
ZIPCODE: *
WORK PHONE:
HOME PHONE:
EMAIL: *
   
SELECT A DIVISION:
DIVISION NAME: Coed B Doubles
DIVISION CODE: DOUBLES
DAY: Sunday, May 10th
   
OPTIONS: Coed B Doubles ($60.00)
Coed C Doubles ($60.00)
TOTAL: $60.00
   
PAYMENT TYPE: Credit Card 
PAYMENT INFO:
Name On Card:
Credit Card Number:
Credit Card Type:
Expiration Date:
CVV Code:
Thank you for your tournament entry and payment. We will be processing your credit card in the next several days. Your credit card receipt will read Baxter Jack's. If you have any questions, feel free to contact us at 502-582-3530.