| TOURNAMENT PRE REGISTRATION (PLEASE PRINT) TEAM NAME____________________DATE__________ TEAM ROSTER (LIMIT 5 PLAYERS) #1 NAME_____________________PH#____________________ ADDRESS____________________________________________ #2 NAME_____________________PH#____________________ ADDRESS____________________________________________ #3 NAME_____________________PH#____________________ ADDRESS____________________________________________ #4 NAME_____________________PH#____________________ ADDRESS____________________________________________ #5 NAME_____________________PH#____________________ ADDRESS____________________________________________ LOCATION RUNAWAY PAINTBALL 7301 CR 3440 MOUNTAIN VIEW, MO 65548 ENTRY FEE: $75 PER TEAM OR $100 DAY OF EVENT PAINTBALL COST $50 PER CASE OF 2000 RNDS DOWNLOAD WAIVER AT: runawaypaintball.com/waiver MAIL THIS COMPLETED ENTRY FORM & MONEY ORDER OR CREDIT CARD INFO TO: RUNAWAY PAINTBALL 7301 CR 3440 MOUNTAIN VIEW, MO 65548 PH# 417-204-9490 E-MAIL: runawaypaintball@yahoo.com WE ACCEPT VISA & MASTER CARD. CARD TYPE_____________________________ CARD#_______________________________EXP DATE_______________VIN CODE___________ VIN CODE ON BACK OF CARD.THIS IS THE # ON THE BACK OF CARD WHERE YOU SIGN. NAME ON CARD_____________________ APPROVAL TO RUN AMOUNT OF$____________________SIGNITURE____________________ BILLING ADDRESS_______________________CITY&ST____________________ZIP___________ DIRECTIONS: FROM WILLOW SPRINGS, MO GO EAST ON HWY 60 8-9 MILES TO COUNTY ROAD 2790 (JUST AFTER FOX RADIO) TURN LEFT,GO TWO BLOCKS TO COUNTY ROAD 3440 TURN RIGHT,THEN THIRD PLACE ON LEFT. FROM MOUNTAIN VIEW, MO GO WEST ON HWY 60 5 MILES TO COUNTY ROAD 2790 TURN RIGHT,GO TWO BLOCKS TO COUNTY ROAD 3440 TURN RIGHT, THEN THIRD PLACE ON THE LEFT |