USATOWA NATIONALS
July 19, 2014 Monroe, Wisconsin
Entry Form
Club Name: _________________________________________________
Please indicate the number of teams you will be entering for
each weight class.
Entry fees are $50
for each team entered.
Weight Class Number of Teams Entered
580 kg Men ________
640 kg Men ________
700 kg Men ________
Men’s Catchweight ________
Men’s U23 600 kg ________
500 kg Women ________
540 kg Women ________
Women’s Catchweight ________
Women’s U23 500 kg ________
Co-Ed 600 kg ________
Novice 600 kg* ________
*No Entry Fee for Novice
Total Number of Teams
Entered ________
Total Amount Due ________ [$50 x
(Total # of Teams - Novice)]
Please return entry form to Steve Moorman no later than
July 12, 2014.
Steve Moorman
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