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TOURNAMENT REGISTRATION FORM

Scho City
ol &
Nam Coun
e try

Cont Scho
act ol
Pers Num
on ber

Cont Cont
act act
Num Emai
ber l

Event Fee Per # of Total


Participant Participan
ts

World Scholar’s Cup Houston $30 USD


Round: April 23
The World Scholar’s Cup is a not-for-profit organization; participation fees are kept as low as possible and reflect
local tournament expenses.

Divis Name Email Birthday M/


Tea ion (Family name last – ex. for tournament updates DD/MM/YY F
m Jr. or Ross Otto)
Sr.

4
More teams? Fill out extra copies. Submit form(s) by email (contact@scholarscup.org)
or fax (+1-603-297-7038). Then, pay the fee:

[ ] by wire [ ] by PayPal [ ] by check [ ] by credit card


MC, Visa, Amex or Discover
Wells Fargo Bank Name:
ABA: 122000248 _____________________________
World Scholar’s
Account: __
Submit fees to Cup
0632846754
dan@scholarscu 1002 Wall St. CC #:
Swift Code:
p.org Los Angeles, _____________________________
WFBIUS6S
CA 90015 __
Telex Code: 184904
Wells UT Exp: _______ Security Code:
______

Registration required by April 16th, 2011. After this date, please contact us to see if berths
are still available.

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