West Coast Fall Tennis Challenge 2003 Online Entry Form

First Name    Last Name
Address
City    State    Zip Code
Home Phone    Work Phone
Email Address
USTA Number

I apply for entry in the following Men's Singles event(s) (limited to two):
Level Open   5.5   4.5   4.0   3.5   3.0   Beginner
Jr. 10   Jr. 12   Jr. 14   Jr. 16   Jr. 18  
Seeding Info

Credit Card Information ($30.00 for Open and/or $25.00 for NTRP/Jr. will be charged to your credit card)
Credit Card      Expiration Date:  Month Year
Card Number
Name on Card


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