Print out the entry form and mail it with check or money order made out to Ronald Tiekert. If you are entering after February 10, please contact us by e-mail or phone to let us know you are coming, as your entry may not reach us before we leave for Danbury. PayPal: NO CREDIT CARDS, please. Only monies transferred from a bank account will be accepted. Be sure to e-mail us a completed entry form if using PayPal.

 
Please PRINT your information clearly. Sign the form and return to:
Ronald Tiekert, 10345 Colony Glen Drive, Alpharetta, GA 30022.

 
 

Player Name:	_________________________________________
Address:	_________________________________________
Phone Number:	_________________________________________
Email Address:	_________________________________________
Current Rating:	_________________________________________

"I have read, and agree to, the information above."

Signed: _________________________________