Please get your team entry in early, last year several people were shut out.

Team Captain: ____________________Phone___________________

Player # 1 _______________________________________________

Player # 2 _______________________________________________

Player # 3 _______________________________________________

Mail Completed Form To:

ITBOA
1 Prairie Meadows Drive
Altoona, IA 50009

Phone: 1-800-577-1097 Fax: 515-967-1368

Entry Deadline: June 5th