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Black Sox Baseball e-Mail Registration/Order Form
Name of Team:
Manager:
Address:
City, State, Zip:
Phone:
e-Mail :
Comments:

FEE	Shoeless Joe Classic: July 3 - July 5 (Sat - Mon)
$500.00	18u 17u 16u
	River City Select   July 9 - July 11
$500.00	18u 17u 16u

IMPORTANT: All Teams must provide proof of insurance.
Name of Insurance Co.:
Policy # :
Contact Person:
Date:
Phone:
Emergency Phone:

After submitting this form, Mail Payment to address below or click on PayPal button to pay by credit card:  Include name of tournament & division in comments on PayPal site
	EVANSVILLE BLACK SOX P.O. BOX 6814 EVANSVILLE IN 47719
Questions? Phone C.J.Johnson, 812-431-7566 e-mail cjpda@insightbb.com

RESERVE: Tournament T-Shirts @ $15.00 ea. (Sizes L, XL, & XXL)  $17.00 @ site Specify Quantity/Sizes in Comments, and Send Payment.  Click on Visa/Mastercard "Buy Now" Button. Include t-shirt info in comments section on PayPal site.

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