FOWCS entry form

Florida Open Water Championship Series

Entry

Instructions: Type it ~ Print it ~ Mail it

Last name First name MI
T-shirt Size

Mailing address Apt

City STATE Zip Phone

2008 USMS registration number: Age Sex Today's date: MO. DAY YR.

Florida Open Water Events entered: Event distance Results posted on line at

event distance www.

event distance www.

event distance www.

event distance www.

event distance www.

ENTRY FEE: $10

Mail this completed form with a check for $10, payable to DICK BREWER, to

Dick Brewer
Florida Open Water Championship Series
2871 4th Street NE
Naples, FL 34120-1336

Entry deadline: received by Monday, December 22, 2008

Entry requirements: Your entry must include this form with a copy of your 2008 USMS registration card attached, and a check or money order for $10. Entries must be received by the above deadline. Results of events must be posted on line

Entry fee includes T-shirt, postage, and award if applicable. Please be sure the mailing address above is complete and correct; that is where everything will be sent.

Last name	First name			MI	T-shirt Size
Mailing address				Apt
City	STATE	Zip		Phone
2008 USMS registration number:	Age	Sex	Today's date: MO. DAY YR.
Florida Open Water Events entered:	Event distance		Results posted on line at
event	distance		www.
event	distance		www.
event	distance		www.
event	distance		www.
event	distance		www.
ENTRY FEE: $10 Mail this completed form with a check for $10, payable to DICK BREWER, to Dick Brewer Florida Open Water Championship Series 2871 4th Street NE Naples, FL 34120-1336	Entry deadline: received by Monday, December 22, 2008 Entry requirements: Your entry must include this form with a copy of your 2008 USMS registration card attached, and a check or money order for $10. Entries must be received by the above deadline. Results of events must be posted on line Entry fee includes T-shirt, postage, and award if applicable. Please be sure the mailing address above is complete and correct; that is where everything will be sent.