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Complete and Submit this form to receive your 6 tickets for the GRAND PRIZE DRAWING*!!!!
If you would like to recieve an ARMS-LENGTH of tickets
for the GRAND PRIZE DRAWING*, you must also send payment for
the total of the entries you have selected below payable to "David
Snyder" at the address below.
YOUR INFORMATION... Are you currently a BTW Member ? YES NO
First Name Last Name
Address
City
State
Zip
Country
E-Mail Address
Phone #
YOUR GUEST OR SPOUSE... Currently a BTW Member ? YES NO
First Name Last Name
Address
City State Zip
Country
E-Mail Address
Phone #
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Number of ADULTS attending FULL week-end ----
(Friday, Saturday & Sunday)(includes Dice Run)- $25.00 each |
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Number of CHILDREN attending FULL week-end ----
(Sat. & Sun. Breakfast and Saturday Dinner) ---- $15.00 each |
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Number of people attending Saturday ONLY ----
(Dice Run and Dinner only) ---- $15.00 each |
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| Trike-In Hoodie... |
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| $25.00 each ---- S
M
L
XL
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| $27.00 each ---- 2X
3X
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| $28.00 each ---- 4X
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Questios, Comments & Suggestions....
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If you are mailing your Registration Form with your Payment,
please send it payable to "David Snyder" to...
David Snyder
296 Jefferson Ave.
Sharon, PA 16146
U.S.A.
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* Winner must be present to win
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After you have completed this form, you can Print it and mail it with your Payment to
David Snyder, at the address above, to receive your ARMS-LENGTH of tickets for the GRAND PRIZE DRAWING*.
Be sure to PRINT this page for your
records BEFORE you click on the Submit button.
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