Name:
Company Name:
Address:
City:
State:
N/A
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip/Postal Code:
Phone:
Fax:
Email:
Team Name:
If you don't have a team, we will select a team for you.
Player 1:
Player 2:
Player 3:
Player 4:
Cost:
Please select cost
1 Person/IAMB Member - $60
1 Person/Non-member - $95
2 People/IAMB Member - $120
2 People/Non-member - $190
3 People/IAMB Member - $180
3 People/Non-member - $285
4 People/IAMB Member - $240
4 People/Non-member - $380
I would like to attend the Lunch Only:
No Lunch Only
1 Person - $20
2 People - $40
3 People - $60
4 People - $80
I would like to purchase Mulligans:
No Mulligans
1 Mulligan - $5
2 Mulligans - $10
3 Mulligans - $12
4 Mulligans - $17
5 Mulligans - $22
6 Mulligans - $24
7 Mulligans - $29
8 Mulligans - $34
9 Mulligans - $36
10 Mulligans - $41
11 Mulligans - $46
12 Mulligans - $48
I would like to purchase Licorice Ropes:
No Licorice Ropes
1 Licorice Rope - $5
2 Licorice Ropes - $10
3 Licorice Ropes - $15
4 Licorice Ropes - $20
5 Licorice Ropes - $25
6 Licorice Ropes - $30
7 Licorice Ropes - $35
8 Licorice Ropes - $40
Payment:
When registering online payment by credit card
online only. If you would like to pay another way please print the
Registration form (PDF).
Cancellations and
Refunds:
Cancellations must be made by
June 5, 2008, No refunds will be given after
that date. cancellations are subject to a $10
cancellation fee and will not be processed up to
30 days after the tournament.