OKWA Novice State Entry Form on 05/18/2012 You must fill in ALL the blanks! You will be taken through the Credit Card (PayPal) portion after you hit the Send Form Button. This will have to completed successfully before the entries will be included in the OKWA Novice State entry file. PLEASE, use the Alphabet or Numbers in your Team Name.

Club Name:
Contact:
Name of Person Paying:
Email:
Address

City:		State:	Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming	Zip:
Telephone:

Enter the Total Entry Lines You Need:

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