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              10th annual

                   AKTA National Championships

                           Oct 7-8  2005             

           Name__________________________________________________

                 Address_________________________________________

                 City_____________________ State________ Phone____________

 

                                                        Contest fee $100.0 (all events included)

                                                                            (check one)

                                                        Mens ________ Womens_______ Novice______

a novice is someone who has been throwing for less than one year.

                                                        Jr._________(16 years old and under free)

                                              

          Souvenir Tee shirts $18.00

(check one)

                  Medium_______ Large ________ XL________ 2XL_________

                                                    

 10th annual AKTA banquet

(You must RSVP by September 15, 2005)

(Check one)

 

 Adults $35.00 ______ Kids  $10.00______(12 and under)

              Contest fee_______Tee Shirts________Banquet_______

                 Total_______________

 Please make checks payable to

Bobby Branton

4976 See Wee Rd Awendaw, SC 29429