Mail Entry Form to:
PatrickPartington
4801Marguerita Drive
West PalmBeach, FL. 33417
Name
Address
Phone #
Level
Prefered Position
Current USOA Member Yes No
Date USOA Payment Made
Entry Fee $55 (Postmarked Feb 18th)
Patpix@netscape.com
Patrick Partington
$65 (After Feb 18th)
$75 (After March 7th)
Entry Closes March 10th-No On Site Registration
For Questions Contact: Patrick Partington