2004-05 Russell Stover Stars Tournament Entry Form

Team Name:______________________________________________________

Contact Name:______________Contact Phone_____________Email________________

Contact Address:_____________________City/ST/Zip:__________________________

Check the Tournament you are applying for:

September 11-12^th Midget Major _______Midget Minor_______

October 9^th-10^th Midget Minor_______

November 26-28^th Midget Major_______Midget Minor________

February 5-6^th, 2005 Midget Major_______Midget Minor________

September, October, February tournaments are 4 game guaranteed for a cost of $900.

Novembers Wishbone Classic is a 5 game guarantee for a cost of $1000.

Please fill out this form and email it back to Terry Vitali at vitali22@kc.rr.com. Also, send a $400 deposit to reserve your spot. Make checks payable to Russell Stover Stars and send to Terry Vitali, 12613 Stearns, Overland Park, KS 66213. If you would like to use a credit card fill out the following information:

Name on Card:___________________

Visa or Mastercard (underline one)

Card Number______________________ Exp __________

Questions: Call Terry at 913-302-8071 or email at vitali22@kc.rr.com

Team Roster, Hotel Information, Tournament Rules will be posted on the website, www.russellstoverstars.com (website will be up and running by Aug 1^st).