Super 30 Entry Form (Go to LMCD Form)

  • Captain's Name
    Social Security #
    Street Address
    City
    State Zip Code
    Work Phone
    Home Phone
    E-mail
    Signature
  • Partner's Name
    Social Security #
    Street Address
    City
    State Zip Code
    Work Phone
    Home Phone
    E-mail
    Signature
  • Check the tournaments you are entering.
    Membership Fee (per person)

    		$10.00
    Minnetonka AIA 5/29/07

    		$350.00
    Minnetonka 6/18/07

    		$300.00
    Minnetonka 7/16/07

    		$300.00
    Minnetonka 8/10/07

    		$300.00
    Minnetonka 9/10/07

    		$300.00
     

    TOTAL

    Mail check & Signed entry form to:
    DENNY’S SUPER 30
    8014 Pennsylvania Road
    Bloomington, MN 55438
    Cell 612-201-2406